Provider Demographics
NPI:1245559384
Name:MAZUR, DELILAH JEAN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DELILAH
Middle Name:JEAN
Last Name:MAZUR
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 1:6531 RTE 22
Mailing Address - Street 2:
Mailing Address - City:DELMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15626-2402
Mailing Address - Country:US
Mailing Address - Phone:724-468-6282
Mailing Address - Fax:724-468-5434
Practice Address - Street 1:6531 ROUTE 22
Practice Address - Street 2:
Practice Address - City:DELMONT
Practice Address - State:PA
Practice Address - Zip Code:15626-2402
Practice Address - Country:US
Practice Address - Phone:724-468-6282
Practice Address - Fax:724-468-5434
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043274L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist