Provider Demographics
NPI:1255745485
Name:ELEK, DENNIS (RPH)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:ELEK
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 1:1248 E LOMA LINDA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2667
Mailing Address - Country:US
Mailing Address - Phone:559-917-9301
Mailing Address - Fax:
Practice Address - Street 1:456 S MADERA AVE
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1538
Practice Address - Country:US
Practice Address - Phone:559-846-7115
Practice Address - Fax:559-846-9756
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH27007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist