Provider Demographics
NPI:1235247347
Name:TONEY, DENNIS STEVEN (RPH)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:STEVEN
Last Name:TONEY
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 1:2075 COFFEY LN
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:95524-9360
Mailing Address - Country:US
Mailing Address - Phone:707-825-9232
Mailing Address - Fax:
Practice Address - Street 1:2850 F ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-4423
Practice Address - Country:US
Practice Address - Phone:707-442-5774
Practice Address - Fax:707-444-3498
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist