Provider Demographics
NPI:1467453191
Name:HINKLE, JOHN FORRY III (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FORRY
Last Name:HINKLE
Suffix:III
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 1:144 COOPER AVE
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1252
Mailing Address - Country:US
Mailing Address - Phone:717-898-5728
Mailing Address - Fax:717-684-6239
Practice Address - Street 1:261 LOCUST ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-1110
Practice Address - Country:US
Practice Address - Phone:717-684-2551
Practice Address - Fax:717-684-6239
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037441L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist