Healthcare Provider Details

I. General information

NPI: 1548609282
Provider Name (Legal Business Name): KIMBERLY ANN TROMBLY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2013
Last Update Date: 04/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2962 SAINT LAWRENCE AVE
READING PA
19606-2233
US

IV. Provider business mailing address

2962 SAINT LAWRENCE AVE
READING PA
19606-2233
US

V. Phone/Fax

Practice location:
  • Phone: 610-779-3120
  • Fax:
Mailing address:
  • Phone: 610-779-3120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03500200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP447273
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: