BI STATE PHARMACY INC
5 E State St
Delmar, DE 19940
302-846-9101
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | DE | A30000934 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1000039669 | DE | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0844779 | OTHER |