Provider Demographics
NPI:1013222769
Name:GRAMLEY, NATALIE AUGUSTINE
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:AUGUSTINE
Last Name:GRAMLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:AUGUSTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:233 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-9531
Mailing Address - Country:US
Mailing Address - Phone:610-743-3044
Mailing Address - Fax:610-743-3044
Practice Address - Street 1:3311 PENN AVE
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1436
Practice Address - Country:US
Practice Address - Phone:610-678-1119
Practice Address - Fax:610-678-8470
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist