Provider Demographics
NPI:1801897871
Name:SOROFMAN, BERNARD (RPH)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:SOROFMAN
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 1:115 GRAND AVENUE CT
Mailing Address - Street 2:COLLEGE OF PHARMACY SUITE S511 PHAR
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2508
Mailing Address - Country:US
Mailing Address - Phone:319-335-8878
Mailing Address - Fax:319-353-5646
Practice Address - Street 1:115 GRAND AVENUE CT
Practice Address - Street 2:COLLEGE OF PHARMACY SUITE S511 PHAR
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2508
Practice Address - Country:US
Practice Address - Phone:319-335-8878
Practice Address - Fax:319-353-5646
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK9850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist