Provider Demographics
NPI:1427378553
Name:GRIFFIN, DANA RENEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:RENEE
Last Name:GRIFFIN
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 1:6140 FALLS OF NEUSE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3528
Mailing Address - Country:US
Mailing Address - Phone:919-876-7286
Mailing Address - Fax:919-875-0974
Practice Address - Street 1:6140 FALLS OF NEUSE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3528
Practice Address - Country:US
Practice Address - Phone:919-876-7286
Practice Address - Fax:919-875-0974
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17671183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist