Provider Demographics
NPI:1124143342
Name:SETTA, DAVID P
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:P
Last Name:SETTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 CARILION LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-7911
Mailing Address - Country:US
Mailing Address - Phone:864-248-0174
Mailing Address - Fax:
Practice Address - Street 1:1 E STONE AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-5619
Practice Address - Country:US
Practice Address - Phone:864-235-9115
Practice Address - Fax:864-235-0462
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035258183500000X
MA18058183500000X
SC11693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist