Provider Demographics
NPI:1164724845
Name:DENINNO, DONNA LYNN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LYNN
Last Name:DENINNO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 WINDMILL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LEONARD
Mailing Address - State:MD
Mailing Address - Zip Code:20685
Mailing Address - Country:US
Mailing Address - Phone:410-535-8305
Mailing Address - Fax:410-535-8307
Practice Address - Street 1:100 HOSPITAL DR
Practice Address - Street 2:CALVERT MEMORIAL HOSPITAL PHARMACY
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4016
Practice Address - Country:US
Practice Address - Phone:410-535-8305
Practice Address - Fax:410-535-8307
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD156431835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist