Provider Demographics
NPI:1366642845
Name:BECKER, DANYA LOUISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANYA
Middle Name:LOUISE
Last Name:BECKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:DANYA
Other - Middle Name:LOUISE
Other - Last Name:SHEPHERD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67800 MALL RING RD UNIT 215
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-1703
Mailing Address - Country:US
Mailing Address - Phone:740-695-9321
Mailing Address - Fax:
Practice Address - Street 1:67800 MALL RING RD UNIT 215
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1703
Practice Address - Country:US
Practice Address - Phone:740-695-9321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03227910183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist