Provider Demographics
NPI:1740806637
Name:BOSTWICK, DAWNDEE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DAWNDEE
Middle Name:
Last Name:BOSTWICK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 S MAIN ST STE 108
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1013
Mailing Address - Country:US
Mailing Address - Phone:330-622-5396
Mailing Address - Fax:330-258-9064
Practice Address - Street 1:375 S MAIN ST STE 108
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1013
Practice Address - Country:US
Practice Address - Phone:330-622-5396
Practice Address - Fax:330-258-9064
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist