Provider Demographics
NPI:1194018341
Name:DUNN, NANCY RUTH (RPH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:RUTH
Last Name:DUNN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 N STEPTOE ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7120
Mailing Address - Country:US
Mailing Address - Phone:509-783-3413
Mailing Address - Fax:509-735-2803
Practice Address - Street 1:1901 N STEPTOE ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7120
Practice Address - Country:US
Practice Address - Phone:509-783-3413
Practice Address - Fax:509-735-2803
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist