Provider Demographics
NPI:1104877158
Name:HARTZELL, ROBERT E (RPH,CCN)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:E
Last Name:HARTZELL
Suffix:
Gender:M
Credentials:RPH,CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 LINDEN LN
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3719
Mailing Address - Country:US
Mailing Address - Phone:610-799-2470
Mailing Address - Fax:610-264-8774
Practice Address - Street 1:300 AMERICAN ST
Practice Address - Street 2:
Practice Address - City:CATASAUQUA
Practice Address - State:PA
Practice Address - Zip Code:18032-1800
Practice Address - Country:US
Practice Address - Phone:610-264-5471
Practice Address - Fax:610-264-8774
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP024948L1835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support