NPI | 1053605436 |
---|---|
Doing Business As | FIRST STATE PHARMACY |
Entity Type | Organization |
Authorized Contact | CHARLES MCCORMICK Owner/President 302-757-6075 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: DE A3-0000922) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2011-06-03 |
Last Update Date | 2014-11-25 |