Individual
MR. DAVID RUSSELL GUTEKUNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2700 SHELLY RD, HARLEYSVILLE, PA 19438-1281
(215) 513-3053
(215) 513-3052
Mailing address
2700 SHELLY RD, HARLEYSVILLE, PA 19438-1201
(215) 513-3053
(215) 513-3052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
A10002778
DE
183500000X
Pharmacist
Primary
RP031185L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018678030002
—
PA
01
—
1558469486
NPI
—
01
—
3986962
NCPDP
—
01
—
4415720002
NSC
PA
01
—
PP481624
PA PERMIT
PA
Enumeration date
10/07/2005
Last updated
03/07/2023
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