Provider Demographics
NPI:1497278154
Name:DUNLAP, DEAN AARON (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:AARON
Last Name:DUNLAP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5586 COUNTY ROAD 21
Mailing Address - Street 2:
Mailing Address - City:ARCHBOLD
Mailing Address - State:OH
Mailing Address - Zip Code:43502-9785
Mailing Address - Country:US
Mailing Address - Phone:614-578-8050
Mailing Address - Fax:
Practice Address - Street 1:618 N CLINTON ST
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-1609
Practice Address - Country:US
Practice Address - Phone:419-782-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist