Provider Demographics
NPI:1043936958
Name:DRES, DIONISIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DIONISIA
Middle Name:
Last Name:DRES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ALGONQUIN DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3656
Mailing Address - Country:US
Mailing Address - Phone:347-287-7361
Mailing Address - Fax:
Practice Address - Street 1:12 HARVARD ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-8513
Practice Address - Country:US
Practice Address - Phone:781-894-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064478183500000X
MAPH238737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist