Provider Demographics
NPI:1942512785
Name:KNIGHTES, DAVID S (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:KNIGHTES
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 1:7 UPPER GILMAN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-1816
Mailing Address - Country:US
Mailing Address - Phone:802-524-6894
Mailing Address - Fax:802-524-2142
Practice Address - Street 1:133 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1590
Practice Address - Country:US
Practice Address - Phone:802-524-6894
Practice Address - Fax:802-624-2442
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0332101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist