Provider Demographics
NPI:1447569306
Name:KLASING, DAVID F (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:F
Last Name:KLASING
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 1:318 COUNTY ROAD 849
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-2826
Mailing Address - Country:US
Mailing Address - Phone:205-668-7739
Mailing Address - Fax:
Practice Address - Street 1:4559 HIGHWAY 25
Practice Address - Street 2:
Practice Address - City:MONTEVALLO
Practice Address - State:AL
Practice Address - Zip Code:35115-4260
Practice Address - Country:US
Practice Address - Phone:205-665-5106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist