Provider Demographics
NPI:1639845811
Name:KOEHLER, DAVID PAUL (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PAUL
Last Name:KOEHLER
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 1:3791 EASTON NAZARETH HWY
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8324
Mailing Address - Country:US
Mailing Address - Phone:610-515-2445
Mailing Address - Fax:610-515-2498
Practice Address - Street 1:3791 EASTON NAZARETH HWY
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8324
Practice Address - Country:US
Practice Address - Phone:610-515-2445
Practice Address - Fax:610-515-2498
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033604L1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy