Provider Demographics
NPI:1821388943
Name:REMMEL, MARK DAVID (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:DAVID
Last Name:REMMEL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-1514
Mailing Address - Country:US
Mailing Address - Phone:610-377-4262
Mailing Address - Fax:610-377-8311
Practice Address - Street 1:241 N 1ST ST
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1514
Practice Address - Country:US
Practice Address - Phone:610-377-4262
Practice Address - Fax:610-377-8311
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist