Provider Demographics
NPI:1932263910
Name:RUMBERGER, DAVID WILLIAM (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WILLIAM
Last Name:RUMBERGER
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 1:860 OLD FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MILLERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17062-9008
Mailing Address - Country:US
Mailing Address - Phone:717-444-3081
Mailing Address - Fax:
Practice Address - Street 1:860 OLD FERRY RD
Practice Address - Street 2:
Practice Address - City:MILLERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17062-9008
Practice Address - Country:US
Practice Address - Phone:717-444-3081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032595L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP032494LOtherPA STATE PHARMACY LICENSE