Provider Demographics
NPI:1750651071
Name:DARMSTADTER, BROOKE LESTER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:LESTER
Last Name:DARMSTADTER
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 1:26351 PATRIOTS WAY
Mailing Address - Street 2:102 LLOYD LANE
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-2575
Mailing Address - Country:US
Mailing Address - Phone:302-933-3420
Mailing Address - Fax:302-933-3421
Practice Address - Street 1:26351 PATRIOTS WAY
Practice Address - Street 2:102 LLOYD LANE
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2575
Practice Address - Country:US
Practice Address - Phone:302-933-3420
Practice Address - Fax:302-933-3421
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA10003320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist