Provider Demographics
NPI:1457769127
Name:DENNISON, BARBARA ANN (RPH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:DENNISON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:TATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:643 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2466
Mailing Address - Country:US
Mailing Address - Phone:724-266-4400
Mailing Address - Fax:724-266-4411
Practice Address - Street 1:643 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2466
Practice Address - Country:US
Practice Address - Phone:724-266-4400
Practice Address - Fax:724-266-4411
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033762L183500000X
OHRPH03232894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist