Provider Demographics
NPI:1467448068
Name:PATTERSON, DAVID W (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:PATTERSON
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 1:507 LEAMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17551-1109
Mailing Address - Country:US
Mailing Address - Phone:717-871-1100
Mailing Address - Fax:717-871-6944
Practice Address - Street 1:507 LEAMAN AVE
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17551-1109
Practice Address - Country:US
Practice Address - Phone:717-871-1100
Practice Address - Fax:717-871-6944
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP027112LL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist