Healthcare Provider Details

I. General information

NPI: 1588635858
Provider Name (Legal Business Name): DAVID N WHYSONG RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 02/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4186 CORTLAND DR
NEW PARIS PA
15554-0377
US

IV. Provider business mailing address

257 HIGHLAND RD
SCHELLSBURG PA
15559
US

V. Phone/Fax

Practice location:
  • Phone: 814-839-9997
  • Fax: 814-839-9955
Mailing address:
  • Phone: 814-733-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP040968L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: