Healthcare Provider Details

I. General information

NPI: 1558638213
Provider Name (Legal Business Name): DAVID S KAHLER R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2011
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SW ARCHER RD SU. 2130
GAINESVILLE FL
32610
US

IV. Provider business mailing address

5503 NW 97TH ST
GAINESVILLE FL
32653-2856
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25856
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: