Provider Demographics
NPI:1154411593
Name:PAUL, VINCENT JOSEPH (RPH)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:JOSEPH
Last Name:PAUL
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 1:181 N POTTSTOWN PIKE UNIT 1248
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2259
Mailing Address - Country:US
Mailing Address - Phone:610-662-2131
Mailing Address - Fax:
Practice Address - Street 1:1508 PHILADELPHIA PIKE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-1826
Practice Address - Country:US
Practice Address - Phone:302-574-9836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032463L183500000X
MD10249183500000X
DEA1-0001952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist