STATE OF DELAWARE; NPI #1851340350

Contact Information

STATE OF DELAWARE

100 SUNNYSIDE ROAD
SMYRNA, DE 19977-1752

Phone: 302-223-1373
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for STATE OF DELAWARE

NPI Number 1851340350

LBN Legal business name STATE OF DELAWARE

Authorized official LAUREEN CAHALL - (FISCAL ADVISOR II)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/10/2006

Last updated 03/26/2026 - About 2 months ago

Identifiers

DE	License #	A30000691
DE	Medicaid	00001210149
DE	Medicaid	0000121049

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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