Provider Demographics
NPI:1407145212
Name:ALBRIGHT, DOUGLAS (RPH)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:ALBRIGHT
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 1:4607 STANTON OGLETOWN RD
Mailing Address - Street 2:RITE AID OMEGA SHOPPING CENTER
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2006
Mailing Address - Country:US
Mailing Address - Phone:302-737-4440
Mailing Address - Fax:302-737-4574
Practice Address - Street 1:4607 STANTON OGLETOWN RD
Practice Address - Street 2:RITE AID OMEGA SHOPPING CENTER
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-737-4440
Practice Address - Fax:302-737-4574
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0001806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist