Provider Demographics
NPI:1710083365
Name:SAVEWAY COMPOUNDING PHARMACY
Entity Type:Organization
Organization Name:SAVEWAY COMPOUNDING PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:302-369-5520
Mailing Address - Street 1:31 ALBE DR
Mailing Address - Street 2:UNIT 1
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1360
Mailing Address - Country:US
Mailing Address - Phone:302-369-5520
Mailing Address - Fax:302-369-5853
Practice Address - Street 1:31 ALBE DR
Practice Address - Street 2:UNIT 1
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1360
Practice Address - Country:US
Practice Address - Phone:302-369-5520
Practice Address - Fax:302-369-5853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA3-00006943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001152407Medicaid
DE0803975OtherNCPDP NUMBER