Provider Demographics
NPI:1770651671
Name:CORBO, TERESA EVAN (RPH, PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:EVAN
Last Name:CORBO
Suffix:
Gender:F
Credentials:RPH, PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHRISTIANA CARE HEALTH SYSTEM
Mailing Address - Street 2:4755 OGLETOWN-STANTON ROAD
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-0001
Mailing Address - Country:US
Mailing Address - Phone:302-733-6364
Mailing Address - Fax:302-733-3572
Practice Address - Street 1:4755 OGLETOWN-STANTON RD
Practice Address - Street 2:CHRISTIANA CARE HEALTH SYSTEM, DEPT OF PHARMACY
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-6364
Practice Address - Fax:302-733-3572
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-00030131835P1200X
PARP042748L1835P1200X
GARPH0193261835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy