Healthcare Provider Details

I. General information

NPI: 1801662051
Provider Name (Legal Business Name): DAVID N GOEHRING PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2023
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4810 OLD WILLIAM PENN HWY
EXPORT PA
15632-9469
US

IV. Provider business mailing address

100 IDLEWORTH DR
CORAOPOLIS PA
15108-1009
US

V. Phone/Fax

Practice location:
  • Phone: 724-733-0691
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP458208
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: