Provider Demographics
NPI:1699325589
Name:VOSS, DAVID WALTER (RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:WALTER
Last Name:VOSS
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 1:907 STATE ROAD 229
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-6802
Mailing Address - Country:US
Mailing Address - Phone:812-934-5711
Mailing Address - Fax:812-934-5189
Practice Address - Street 1:907 STATE ROAD 229
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-6802
Practice Address - Country:US
Practice Address - Phone:812-934-5711
Practice Address - Fax:812-934-5189
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017370A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty