Healthcare Provider Details

I. General information

NPI: 1891815718
Provider Name (Legal Business Name): ROY VINCENT CASTLE JR. R.PH., P.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 FISHERS LN HFD-13
ROCKVILLE MD
20857-0001
US

IV. Provider business mailing address

19035 FESTIVAL DR
BOYDS MD
20841-4001
US

V. Phone/Fax

Practice location:
  • Phone: 240-453-6689
  • Fax: 240-453-6685
Mailing address:
  • Phone: 301-972-2394
  • Fax: 301-972-2395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number08969
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: