Provider Demographics
NPI:1629246210
Name:KORMANN, ELINDA L (RPH, MS)
Entity Type:Individual
Prefix:MRS
First Name:ELINDA
Middle Name:L
Last Name:KORMANN
Suffix:
Gender:F
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1683 JACKS CIR
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-4909
Mailing Address - Country:US
Mailing Address - Phone:215-361-7275
Mailing Address - Fax:
Practice Address - Street 1:1301 SKIPPACK PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1254
Practice Address - Country:US
Practice Address - Phone:610-279-2332
Practice Address - Fax:610-279-9916
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP437865OtherPA BOARD OF PHARMACY