Provider Demographics
NPI:1598045270
Name:MAHER, DENISE EMILIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:EMILIE
Last Name:MAHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PULLMAN SQ
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5658
Mailing Address - Country:US
Mailing Address - Phone:724-282-2435
Mailing Address - Fax:724-282-4185
Practice Address - Street 1:300 PULLMAN SQ
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5658
Practice Address - Country:US
Practice Address - Phone:724-282-2435
Practice Address - Fax:724-282-4185
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-040070-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP-040070-LOtherSTATE LICENSE