Provider Demographics
NPI:1366719684
Name:GOSNER, ROBERT M JR (BS PHARMACY)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:GOSNER
Suffix:JR
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 W CHESTER PIKE
Mailing Address - Street 2:B-106 WOODBROOK HOUSE
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4293
Mailing Address - Country:US
Mailing Address - Phone:484-467-1556
Mailing Address - Fax:
Practice Address - Street 1:3405 W CHESTER PIKE
Practice Address - Street 2:B-106 WOODBROOK HOUSE
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4293
Practice Address - Country:US
Practice Address - Phone:484-467-1556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030627L183500000X
NJ28RL02851300183500000X
PARPL001046183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist