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Contact Information

MILLSBORO PHARMACY INC
321 OLD LANDING ROAD
MILLSBORO, DE19966
 Phone: 302-934-9398
 Fax: 302-934-9398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MILLSBORO PHARMACY INC

NPI Number 1467551333
LBN Legal business name MILLSBORO PHARMACY INC
Authorized official WALTER DOLAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 03/16/2015 - About 11 years ago
Identifiers
DE License # A30000438
DE Medicaid 000046207
Other 2003017 PK
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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