Provider Demographics
NPI:1831738095
Name:DENNIS, CRAIG ARRON (PHARMD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:ARRON
Last Name:DENNIS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9609 POSSUM HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-7937
Mailing Address - Country:US
Mailing Address - Phone:717-658-8272
Mailing Address - Fax:
Practice Address - Street 1:701 E KING ST
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-1507
Practice Address - Country:US
Practice Address - Phone:717-530-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-04
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty