Provider Demographics
NPI:1104103282
Name:ISGETT, PHILIP WILLIAM (RPH)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:WILLIAM
Last Name:ISGETT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 COUNTY ROAD 107
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-8868
Mailing Address - Country:US
Mailing Address - Phone:740-886-5579
Mailing Address - Fax:740-886-7760
Practice Address - Street 1:6306 COUNTY ROAD 107
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-8868
Practice Address - Country:US
Practice Address - Phone:740-886-5579
Practice Address - Fax:740-886-7760
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03126008183500000X
KY015320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist