Provider Demographics
NPI:1316504202
Name:VOLLMER, JOSEPH R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:R
Last Name:VOLLMER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 BECKS RUN RD
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3812
Mailing Address - Country:US
Mailing Address - Phone:412-965-8651
Mailing Address - Fax:
Practice Address - Street 1:108 GREENSBURG RD
Practice Address - Street 2:
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-3914
Practice Address - Country:US
Practice Address - Phone:724-339-1473
Practice Address - Fax:724-335-1373
Is Sole Proprietor?:No
Enumeration Date:2019-05-25
Last Update Date:2019-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist