Provider Demographics
NPI:1508016585
Name:NOSKOW, HENRY SPENCER (RPH)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:SPENCER
Last Name:NOSKOW
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 1:10 E RIDGE PIKE
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2117
Mailing Address - Country:US
Mailing Address - Phone:610-825-3784
Mailing Address - Fax:610-825-7949
Practice Address - Street 1:10 E RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-2117
Practice Address - Country:US
Practice Address - Phone:610-825-3784
Practice Address - Fax:610-825-7949
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033090L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP033090LOtherPA. STATE LICENSE