Provider Demographics
NPI:1205120201
Name:NARDINI, DARA LENORE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:DARA
Middle Name:LENORE
Last Name:NARDINI
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 1:17213 COLE RD
Mailing Address - Street 2:T-1257
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6981
Mailing Address - Country:US
Mailing Address - Phone:301-582-9183
Mailing Address - Fax:301-582-9183
Practice Address - Street 1:17213 COLE RD
Practice Address - Street 2:T-1257
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6981
Practice Address - Country:US
Practice Address - Phone:301-582-9183
Practice Address - Fax:301-582-9183
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist