Provider Demographics
NPI:1457949158
Name:MANNING, DANA (PHARMD, RD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:MANNING
Suffix:
Gender:F
Credentials:PHARMD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 KENNEDY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18414-8115
Mailing Address - Country:US
Mailing Address - Phone:570-677-7818
Mailing Address - Fax:
Practice Address - Street 1:552 KENNEDY CREEK RD
Practice Address - Street 2:
Practice Address - City:NORTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18414-8115
Practice Address - Country:US
Practice Address - Phone:570-677-7818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003337133V00000X
PARP4428651835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADN003337OtherDIETITIAN NUTRITIONIST
PARPI000804OtherPHARMACIST ADMINISTRATION OF INJECTABLES
PARP442865OtherPHARMACIST LICENSE