Provider Demographics
NPI:1912296575
Name:GIORDANO, BENJAMIN JAMES SR (RPH)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:JAMES
Last Name:GIORDANO
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 POLLY DRUMMOND SHPG CTR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4859
Mailing Address - Country:US
Mailing Address - Phone:302-731-7111
Mailing Address - Fax:302-738-8392
Practice Address - Street 1:4 POLYDRUMMOND SHOPPING CENTER
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19311
Practice Address - Country:US
Practice Address - Phone:302-731-9111
Practice Address - Fax:302-738-8392
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002005183500000X
PARP028459L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist