Provider Demographics
NPI:1821613597
Name:CHAISIRI, DANA (PHARM D)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:CHAISIRI
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 1:3441 MAGNOLIA SHORES LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5301
Mailing Address - Country:US
Mailing Address - Phone:832-867-8196
Mailing Address - Fax:
Practice Address - Street 1:16601 CENTRAL GREEN BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-5143
Practice Address - Country:US
Practice Address - Phone:281-869-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist