Healthcare Provider Details

I. General information

NPI: 1588715361
Provider Name (Legal Business Name): HOWARD WARREN GOLDSMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 NAPFLE ST
PHILADELPHIA PA
19152-3614
US

IV. Provider business mailing address

638 NICOLE DR
SOUTHAMPTON PA
18966-3638
US

V. Phone/Fax

Practice location:
  • Phone: 215-725-6337
  • Fax: 215-725-7630
Mailing address:
  • Phone: 215-953-1406
  • Fax: 215-725-7630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP035317L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: