Provider Demographics
NPI:1255687117
Name:SORDINI, DEANNA M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:M
Last Name:SORDINI
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 1:857 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3963
Mailing Address - Country:US
Mailing Address - Phone:610-338-0548
Mailing Address - Fax:
Practice Address - Street 1:857 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3963
Practice Address - Country:US
Practice Address - Phone:610-338-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446885183500000X
DEA1-0004324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist