Provider Demographics
NPI:1023081718
Name:VOLGRAF, GERARD JOSEPH (RPH)
Entity type:Individual
Prefix:MR
First Name:GERARD
Middle Name:JOSEPH
Last Name:VOLGRAF
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 1:4041 WESTAWAY DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1509
Mailing Address - Country:US
Mailing Address - Phone:610-941-0501
Mailing Address - Fax:610-941-2429
Practice Address - Street 1:4041 WESTAWAY DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-1509
Practice Address - Country:US
Practice Address - Phone:610-941-0501
Practice Address - Fax:610-941-2429
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-11
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034905L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist