Provider Demographics
NPI:1467451989
Name:RABIN, DAVID EVAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:EVAN
Last Name:RABIN
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 1:3 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4845
Mailing Address - Country:US
Mailing Address - Phone:856-787-0010
Mailing Address - Fax:
Practice Address - Street 1:3 NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-4845
Practice Address - Country:US
Practice Address - Phone:856-787-0010
Practice Address - Fax:856-787-1123
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02037500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist