Provider Demographics
NPI:1467033647
Name:DANKMYER, ESTELLE COOPER
Entity Type:Individual
Prefix:
First Name:ESTELLE
Middle Name:COOPER
Last Name:DANKMYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HICKORY PL
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2890
Mailing Address - Country:US
Mailing Address - Phone:610-805-8760
Mailing Address - Fax:
Practice Address - Street 1:580 SHOEMAKER RD STE 140
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-4203
Practice Address - Country:US
Practice Address - Phone:267-952-6200
Practice Address - Fax:267-952-6201
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036565L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist