Provider Demographics
NPI:1215049952
Name:HIMLER, DONALD SCOTT (RPH)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:SCOTT
Last Name:HIMLER
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 1:140 HUNT DR
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1161
Mailing Address - Country:US
Mailing Address - Phone:215-628-2396
Mailing Address - Fax:
Practice Address - Street 1:2622 JENKINTOWN RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-2524
Practice Address - Country:US
Practice Address - Phone:215-887-6122
Practice Address - Fax:215-517-5492
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031786L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist