MEDICARE: SHEILA P TUCKER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	A1-0001928	DE

General Provider Information

NPI Number	:	1558703173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA P TUCKER RPH

Provider Business Mailing Address
First Line	:	1914 N MARKET ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19802-4813
Country	:	US
Telephone Number	:	302-421-9200
Fax Number	:	302-421-9267

Provider Business Practice Location Address
First Line	:	1914 N MARKET ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19802-4813
Country	:	US
Telephone Number	:	302-421-9200
Fax Number	:	302-421-9267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2013
Last Update Date	:	07/24/2013

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Directions to “ SHEILA P TUCKER RPH” Practice Location

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