Provider Demographics
NPI:1942418181
Name:DROP, DAVID A (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:DROP
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:327 GLENWOOD CV
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-1934
Mailing Address - Country:US
Mailing Address - Phone:904-771-5432
Mailing Address - Fax:904-771-0043
Practice Address - Street 1:4645 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-7324
Practice Address - Country:US
Practice Address - Phone:904-771-5432
Practice Address - Fax:904-771-0043
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0024814183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist