Provider Demographics
NPI:1841885969
Name:1934 DELMAR PHARMACY INCORPORATED
Entity type:Organization
Organization Name:1934 DELMAR PHARMACY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:484-494-8899
Mailing Address - Street 1:1934 DELMAR DR
Mailing Address - Street 2:
Mailing Address - City:FOLCROFT
Mailing Address - State:PA
Mailing Address - Zip Code:19032-1401
Mailing Address - Country:US
Mailing Address - Phone:484-494-8899
Mailing Address - Fax:484-494-5817
Practice Address - Street 1:1934 DELMAR DR
Practice Address - Street 2:
Practice Address - City:FOLCROFT
Practice Address - State:PA
Practice Address - Zip Code:19032-1401
Practice Address - Country:US
Practice Address - Phone:484-494-8899
Practice Address - Fax:484-494-5817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy