Provider Demographics
NPI:1528191103
Name:LEWINTER, DAVID N (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:N
Last Name:LEWINTER
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 1:12236 ROUNDWOOD RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3258
Mailing Address - Country:US
Mailing Address - Phone:410-252-2140
Mailing Address - Fax:410-522-9886
Practice Address - Street 1:1000 EAST EAGER STREET
Practice Address - Street 2:RITEAID PHARMACY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3258
Practice Address - Country:US
Practice Address - Phone:410-502-8414
Practice Address - Fax:410-522-9886
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist