Provider Demographics
NPI:1003114653
Name:APPLE, DAVID WAYNE (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WAYNE
Last Name:APPLE
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 1:10 FOSSE GRANGE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-2001
Mailing Address - Country:US
Mailing Address - Phone:410-641-6105
Mailing Address - Fax:
Practice Address - Street 1:12524 OCEAN GTWY
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-9690
Practice Address - Country:US
Practice Address - Phone:410-213-0159
Practice Address - Fax:410-213-1954
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8727183500000X
DEA1-0002133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist