Provider Demographics
NPI:1467735035
Name:KUNKLE, RICHARD J (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:J
Last Name:KUNKLE
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1427
Mailing Address - Country:US
Mailing Address - Phone:215-886-8763
Mailing Address - Fax:215-886-8547
Practice Address - Street 1:901 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-1427
Practice Address - Country:US
Practice Address - Phone:215-886-8763
Practice Address - Fax:215-886-8547
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045928L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist