Provider Demographics
NPI:1720303951
Name:CIMO-HEWITT, DAWN EILEEN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:EILEEN
Last Name:CIMO-HEWITT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:DAWN
Other - Middle Name:EILEEN
Other - Last Name:CIMO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1500 N. JAMES ST.
Mailing Address - Street 2:C/O ROME HOSPITAL PHARMACY FOR DAWN HEWITT
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440
Mailing Address - Country:US
Mailing Address - Phone:315-338-7151
Mailing Address - Fax:315-338-7122
Practice Address - Street 1:1500 NORTH JAMES ST.
Practice Address - Street 2:RMH RETAIL PHARMACY
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440
Practice Address - Country:US
Practice Address - Phone:315-338-7690
Practice Address - Fax:315-338-7697
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039-390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist