Basic Information
| Provider Information | |||||||||
| NPI: | 1316047863 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DILL | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | C. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARMD, MBA, BCPP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 845 | ||||||||
| Address2: | |||||||||
| City: | HOCKESSIN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197070845 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029836000 | ||||||||
| FaxNumber: | 3026335443 | ||||||||
| Practice Location | |||||||||
| Address1: | 1601 KIRKWOOD HWY | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198054917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029942511 | ||||||||
| FaxNumber: | 3026335443 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | A1-0002616 | DE | X | Pharmacy Service Providers | Pharmacist | 1835P1300X | A1-0002616 | DE | X | Pharmacy Service Providers | Pharmacist | Psychiatric |
No ID Information.