Provider Demographics
NPI:1306937917
Name:FOLMAR, DAVID (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:FOLMAR
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 1:374 MEDGROUP SGSAP
Mailing Address - Street 2:UNIT 5071 BLDG 4408
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96326
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:374 MEDGROUP/SGSAP
Practice Address - Street 2:UNIT 5071 BLDG 4408
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96326
Practice Address - Country:JP
Practice Address - Phone:315-225-3510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist