Provider Demographics
NPI:1629325113
Name:VOGELSONG, ERIC DOUGLAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:DOUGLAS
Last Name:VOGELSONG
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 1:8538 PITLOCHRY CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-9770
Mailing Address - Country:US
Mailing Address - Phone:614-792-9911
Mailing Address - Fax:614-792-9911
Practice Address - Street 1:850 NORTH BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601
Practice Address - Country:US
Practice Address - Phone:740-779-2905
Practice Address - Fax:740-779-2909
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03120259183500000X
KY015857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist