Provider Demographics
NPI:1740305309
Name:GETTMAN, DAVID ALLEN (RPH, MBA,PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:GETTMAN
Suffix:
Gender:M
Credentials:RPH, MBA,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 HIGHLAWN CIR
Mailing Address - Street 2:
Mailing Address - City:GRUNDY
Mailing Address - State:VA
Mailing Address - Zip Code:24614-9107
Mailing Address - Country:US
Mailing Address - Phone:276-935-2394
Mailing Address - Fax:276-935-4279
Practice Address - Street 1:UNIVERSITY OF APPALACHIA COLLEGE OF PHARMACY
Practice Address - Street 2:ROUTE 3 BOX 182
Practice Address - City:GRUNDY
Practice Address - State:VA
Practice Address - Zip Code:24614
Practice Address - Country:US
Practice Address - Phone:276-935-4277
Practice Address - Fax:276-935-4279
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006259183500000X
MD09349183500000X
CA38065183500000X
FLPS 26790183500000X
PARP438183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist