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Contact Information

FIRST STATE PHARMACY
405 SILVERSIDE RD STE 104
WILMINGTON, DE19809-1768
 Phone: 844-365-7246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for FIRST STATE PHARMACY

NPI Number 1770122764
LBN Legal business name FIRST STATE PHARMACY
Authorized official STEFANIE PAULUS - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2019
Last updated 12/23/2019 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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