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NPI Code Detail

MEDICARE: KORALIA DEWEY RPH

MEDICARE: KORALIA DEWEY 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
1183500000XPharmacistA1-0002368DE
2183500000XPharmacistRP034280LPA

General Provider Information

NPI Number : 1932498300
Entity Type Code : Individual
Provider Name (Legal Business Name) : KORALIA DEWEY RPH
Provider Business Mailing Address
First Line : 2503 FAIRLEE RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-3505
Country : US
Telephone Number : 302-529-7471
Fax Number :
Provider Business Practice Location Address
First Line : 2713 PHILADELPHIA PIKE
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-2523
Country : US
Telephone Number : 302-798-9520
Fax Number : 302-798-6610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2011
Last Update Date : 04/06/2011

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Directions to “ KORALIA DEWEY RPH” Practice Location

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