Provider Demographics
NPI:1700020658
Name:MERRICK, DEANNA LYN (PHARMD, BCGP)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:LYN
Last Name:MERRICK
Suffix:
Gender:F
Credentials:PHARMD, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 DENSHIRE DR NW
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-8663
Mailing Address - Country:US
Mailing Address - Phone:330-472-3249
Mailing Address - Fax:855-619-2662
Practice Address - Street 1:4053 S MAIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-3668
Practice Address - Country:US
Practice Address - Phone:330-644-9911
Practice Address - Fax:330-644-9911
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328782183500000X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist