Provider Demographics
NPI:1205665361
Name:FOX, DEANNA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:LYNN
Last Name:FOX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 SAND SPRINGS DRIVE
Mailing Address - Street 2:HUB EAST 201
Mailing Address - City:DRUMS
Mailing Address - State:PA
Mailing Address - Zip Code:18222
Mailing Address - Country:US
Mailing Address - Phone:570-710-5327
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:800-275-6401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist