Provider Demographics
NPI:1447565213
Name:STENGEL, DEANNA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:MARIE
Last Name:STENGEL
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 1:611 WURLITZER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-2348
Mailing Address - Country:US
Mailing Address - Phone:716-207-5602
Mailing Address - Fax:
Practice Address - Street 1:343 MEADOW DR
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-2815
Practice Address - Country:US
Practice Address - Phone:716-694-2001
Practice Address - Fax:716-694-6771
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist