Provider Demographics
NPI:1063791408
Name:KRAMP, DAVID HEIN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HEIN
Last Name:KRAMP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 GREENLEE AVE
Mailing Address - Street 2:2
Mailing Address - City:SAINT BERNARD
Mailing Address - State:OH
Mailing Address - Zip Code:45217-1818
Mailing Address - Country:US
Mailing Address - Phone:419-309-7472
Mailing Address - Fax:937-268-6380
Practice Address - Street 1:4303 W 3RD ST
Practice Address - Street 2:CVS PHARMACY
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-1407
Practice Address - Country:US
Practice Address - Phone:937-268-6816
Practice Address - Fax:937-268-6380
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist