Provider Demographics
NPI:1407994478
Name:MILTON PHARMACY,INC.
Entity Type:Organization
Organization Name:MILTON PHARMACY,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:302-684-8561
Mailing Address - Street 1:614 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-1516
Mailing Address - Country:US
Mailing Address - Phone:302-684-8561
Mailing Address - Fax:302-684-1624
Practice Address - Street 1:614 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-1516
Practice Address - Country:US
Practice Address - Phone:302-684-8561
Practice Address - Fax:302-684-1624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA3-00004733336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy