Provider Demographics
NPI:1013016807
Name:RHOADS, EARL W (RPH)
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:W
Last Name:RHOADS
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 1:300 SHADY LN
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-7640
Mailing Address - Country:US
Mailing Address - Phone:717-533-4224
Mailing Address - Fax:717-832-0728
Practice Address - Street 1:30 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-1627
Practice Address - Country:US
Practice Address - Phone:717-838-6355
Practice Address - Fax:717-832-0728
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026999L183500000X
PAPP413992L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacist