Provider Demographics
NPI:1568753234
Name:KOBLE, CHARLES K (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:K
Last Name:KOBLE
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 1:2567 BERKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-4615
Mailing Address - Country:US
Mailing Address - Phone:717-764-9351
Mailing Address - Fax:
Practice Address - Street 1:2901 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-4603
Practice Address - Country:US
Practice Address - Phone:717-764-9831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-027305-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist