Provider Demographics
NPI:1003108101
Name:WEISEND, DENNIS WILLIAM (RPH)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:WILLIAM
Last Name:WEISEND
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 1:1746 MOUNT PLEASANT ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-1350
Mailing Address - Country:US
Mailing Address - Phone:330-494-2327
Mailing Address - Fax:
Practice Address - Street 1:2110 WALES RD NE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2302
Practice Address - Country:US
Practice Address - Phone:330-833-3194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031111211835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy