NPI 1023455383

Walgreens 11079

Organisation Community Health Clinic/Center Delmar, DE

Practice location

Address: 38627 Benro Dr, Delmar, DE 19940-3572
Phone: (302) 907-1010
Fax: (302) 907-1006
Mailing address: 200 Wilmot Rd, Deerfield, IL 60015-4620

Authorised official

Name: Jon Reitz
Title: Market Pharmacy Director
Phone: (302) 366-0335

Registered specialties

Community Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QC1500X Licence 380101061159913 (DE)

Other Clinic/Center providers in Delaware →

Registry record

NPI: 1023455383
Entity type: Organization
NPI issued: 28 May 2013
Record last updated: 28 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.