Provider Demographics
NPI:1508026691
Name:BENDER, ROSE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:BENDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 CENTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-6220
Mailing Address - Country:US
Mailing Address - Phone:302-994-3848
Mailing Address - Fax:302-994-0580
Practice Address - Street 1:1308 CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-6220
Practice Address - Country:US
Practice Address - Phone:302-994-3848
Practice Address - Fax:302-994-0580
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003658183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist