Provider Demographics
NPI:1467744292
Name:HENN, DANAE LYNN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:DANAE
Middle Name:LYNN
Last Name:HENN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:DANAE
Other - Middle Name:LYNN
Other - Last Name:DUPRAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:139 WEST ST
Mailing Address - Street 2:
Mailing Address - City:WARE
Mailing Address - State:MA
Mailing Address - Zip Code:01082-1415
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:139 WEST ST
Practice Address - Street 2:
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082-1415
Practice Address - Country:US
Practice Address - Phone:413-967-5371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist