Dawn Renee Deller, RPH
Individual provider Active NPI Pharmacist · Covington, OH
NPI 1619050010 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619050010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03-1-20301 (OH)
- Practice address
- 8262 W State Route 41
Covington, OH 45318-1248 - Phone
- (937) 473-3333
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-1-20301 | OH | Yes |
Addresses
Primary practice location
8262 W State Route 41
Covington, OH 45318-1248
Mailing address
520 Baywood CT
Troy, OH 45373-5410
Phone (937) 335-6898
Other providers in Covington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.