Provider Demographics
NPI:1891815718
Name:CASTLE, ROY VINCENT JR (RPH, PD)
Entity Type:Individual
Prefix:MR
First Name:ROY
Middle Name:VINCENT
Last Name:CASTLE
Suffix:JR
Gender:M
Credentials:RPH, PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19035 FESTIVAL DR
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4001
Mailing Address - Country:US
Mailing Address - Phone:301-972-2394
Mailing Address - Fax:301-972-2395
Practice Address - Street 1:5600 FISHERS LN
Practice Address - Street 2:HFD-13
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20857-0001
Practice Address - Country:US
Practice Address - Phone:240-453-6689
Practice Address - Fax:240-453-6685
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist