Individual ProviderDavid Kenneth GraverPharmacistPharmacy Service ProvidersPractice Address1650 N Cedar Crest Blvd, Allentown, PA 18104-2318(610) 395-3671PECOS EnrollmentBased on the most recent information from CMS, provider David Kenneth Graver does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508204314Provider TypeIndividualFull NameGraver, David KennethTitleDr.CredentialPHARM DGenderMaleSole ProprietorYesEnumeration Date6/13/2013Last Updated6/13/2013Contact InformationPractice LocationPractice Address1650 N Cedar Crest Blvd, Allentown, PA 18104-2318Phone(610) 395-3671FaxUnlisted FaxMailing LocationMailing Address1650 N Cedar Crest Blvd, Allentown, PA 18104-2318PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP445699Pennsylvania