Provider Demographics
NPI:1669014908
Name:GOLDSTONE, ROY (RPH)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:
Last Name:GOLDSTONE
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 1:8915 GRUMMORE CIR
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1427
Mailing Address - Country:US
Mailing Address - Phone:301-775-2165
Mailing Address - Fax:
Practice Address - Street 1:416 E 30TH ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3934
Practice Address - Country:US
Practice Address - Phone:410-575-1105
Practice Address - Fax:410-889-0729
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist