Provider Demographics
NPI:1861649626
Name:DUNSKEY, LARRY ROBERT (RPH)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:ROBERT
Last Name:DUNSKEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23893 CLINTON KEITH RD
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-7894
Mailing Address - Country:US
Mailing Address - Phone:951-600-4620
Mailing Address - Fax:051-600-4639
Practice Address - Street 1:23893 CLINTON KEITH RD
Practice Address - Street 2:
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-7894
Practice Address - Country:US
Practice Address - Phone:951-600-4620
Practice Address - Fax:951-600-4639
Is Sole Proprietor?:No
Enumeration Date:2008-08-24
Last Update Date:2015-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH25017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist