Provider Demographics
NPI:1952542425
Name:HASCUP, RICHARD N (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:N
Last Name:HASCUP
Suffix:
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 1:640 S STATE ST
Mailing Address - Street 2:BAYHEALTH AMBULATORY PHARMACY
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-744-6615
Mailing Address - Fax:302-744-6620
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:BAYHEALTH AMBULATORY PHARMACY
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-744-6615
Practice Address - Fax:302-744-6620
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA10001564183500000X
PARP027444L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist