Provider Demographics
NPI:1003134818
Name:TROUT, BRUCE C (RPH)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:C
Last Name:TROUT
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 1:3671 CRESCENT CT E.
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052
Mailing Address - Country:US
Mailing Address - Phone:484-350-3999
Mailing Address - Fax:484-350-3900
Practice Address - Street 1:3671 CRESCENT CT E.
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052
Practice Address - Country:US
Practice Address - Phone:484-350-3999
Practice Address - Fax:484-350-3900
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032563L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist