Provider Demographics
NPI:1912590183
Name:TRAME, DAWN RACHELLE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:RACHELLE
Last Name:TRAME
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13081 W STATE ROUTE 29
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:OH
Mailing Address - Zip Code:45317-9668
Mailing Address - Country:US
Mailing Address - Phone:937-441-1142
Mailing Address - Fax:
Practice Address - Street 1:1920 DONN DAVIS WAY
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-7313
Practice Address - Country:US
Practice Address - Phone:937-761-2606
Practice Address - Fax:937-761-2607
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03218091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03218091Medicaid