MEDICARE: DR. DAVID SOULE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835N0905X	Nuclear Pharmacist	18604	NC

General Provider Information

NPI Number	:	1750261491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SOULE PHARMD

Provider Business Mailing Address
First Line	:	40 DUKE MEDICINE CIRCLE BOX # 3304
Second Line	:	ROOM# 0021 COR SUB-BASEMENT PURPLE ZONE
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-5636
Fax Number	:	919-684-1230

Provider Business Practice Location Address
First Line	:	40 DUKE MEDICINE CIRCLE BOX # 3304
Second Line	:	ROOM# 0021 COR SUB-BASEMENT PURPLE ZONE
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-5636
Fax Number	:	919-684-1230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

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