Provider Demographics
NPI:1588715361
Name:GOLDSMAN, HOWARD WARREN (RPH)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:WARREN
Last Name:GOLDSMAN
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 1:638 NICOLE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3638
Mailing Address - Country:US
Mailing Address - Phone:215-953-1406
Mailing Address - Fax:215-725-7630
Practice Address - Street 1:2020 NAPFLE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3614
Practice Address - Country:US
Practice Address - Phone:215-725-6337
Practice Address - Fax:215-725-7630
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035317L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP035317LOtherPA PHARMACIST LICENSE