NPI 1902212830 · live from the CMS NPI Registry
Delaware Supermarkets INC
Pharmacy, Community/Retail Pharmacy in Bear, DE. National Provider Identifier 1902212830, active.
NPI record
| NPI | 1902212830 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1101 Governors Pl, Bear, DE 19701 |
| Practice phone | 302-392-2891 |
| Mailing address | Po Box 15169, Newark, NJ 07192 |
| Enumerated | July 11, 2014 |
| Last updated | June 5, 2018 |
| Authorized official | Melissa Figueroa Rivera, Third Party Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | A3-0000895 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.