Healthcare Provider Details

I. General information

NPI: 1922131341
Provider Name (Legal Business Name): DAVID SIRHAL PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 HORSESHOE PIKE
DOWNINGTOWN PA
19335-1367
US

IV. Provider business mailing address

39 BROOK CIR
GLENMOORE PA
19343-1204
US

V. Phone/Fax

Practice location:
  • Phone: 610-269-7368
  • Fax: 610-269-2198
Mailing address:
  • Phone: 610-942-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number029171L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: