Provider Demographics
NPI:1093955601
Name:ESPOSITO, PAUL M (RPH)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W CLARKE AVE
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1840
Mailing Address - Country:US
Mailing Address - Phone:302-430-5662
Mailing Address - Fax:302-430-5514
Practice Address - Street 1:21 W CLARKE AVE
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1840
Practice Address - Country:US
Practice Address - Phone:302-430-5662
Practice Address - Fax:302-430-5514
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-00030931835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist