Healthcare Provider Details

I. General information

NPI: 1023081718
Provider Name (Legal Business Name): GERARD JOSEPH VOLGRAF RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2006
Last Update Date: 06/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4041 WESTAWAY DR
LAFAYETTE HILL PA
19444-1509
US

IV. Provider business mailing address

4041 WESTAWAY DR
LAFAYETTE HILL PA
19444-1509
US

V. Phone/Fax

Practice location:
  • Phone: 610-941-0501
  • Fax: 610-941-2429
Mailing address:
  • Phone: 610-941-0501
  • Fax: 610-941-2429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP034905L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: