Provider Demographics
NPI:1043421647
Name:KONSTANZER, PATRICIA H (RPH, CDM)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:H
Last Name:KONSTANZER
Suffix:
Gender:F
Credentials:RPH, CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 W MAIN ST
Mailing Address - Street 2:SAVON PHARMACY
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-4200
Mailing Address - Country:US
Mailing Address - Phone:215-361-8246
Mailing Address - Fax:215-361-8281
Practice Address - Street 1:1150 W MAIN ST
Practice Address - Street 2:SAVON PHARMACY
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4200
Practice Address - Country:US
Practice Address - Phone:215-361-8246
Practice Address - Fax:215-361-8281
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034744L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist