Gutekunst, David Russell

Gutekunst, David Russell is an individual health care provider with primary practice located at 2700 Shelly Rd , Harleysville PA 19438-1281. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gutekunst, David Russell can be contacted via phone (215) 513-3053.

Contact Information

Primary practice address
2700 Shelly Rd Harleysville PA 19438-1281
Phone: (215) 513-3053
Fax: (215) 513-3052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP031185L Pennsylvania
Pharmacy Service Providers / Pharmacist 183500000X A10002778 Delaware

Profile Details

NPI number 1336137017
LBN Legal business name Gutekunst, David Russell
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336137017 NPPES
Pennsylvania MEDICAID 0018678030002
Pennsylvania Other PP481624
Pennsylvania Other 3986962
Pennsylvania Other 4415720002
Pennsylvania Other 1558469486
Pennsylvania Other 4415720002

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