Provider Demographics
NPI:1356328603
Name:SOHL, DAVID JEREMY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JEREMY
Last Name:SOHL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6013 STETSON CIR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3000
Mailing Address - Country:US
Mailing Address - Phone:361-961-6053
Mailing Address - Fax:361-961-2499
Practice Address - Street 1:10651 E ST
Practice Address - Street 2:NAVAL HOSPITAL CORPUS CHRISTI PHARMACY
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78419-5130
Practice Address - Country:US
Practice Address - Phone:361-961-6053
Practice Address - Fax:361-961-2499
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19958183500000X
TX43014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist