MEDICARE: DENNIS P MCELDOWNEY R.PH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP0004947	WV

General Provider Information

NPI Number	:	1558694745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS P MCELDOWNEY R.PH

Provider Business Mailing Address
First Line	:	135 SUMMIT RIDGE RD
Second Line	:
City	:	HURRICANE
State	:	WV
Zip	:	25526-9211
Country	:	US
Telephone Number	:	304-757-4927
Fax Number	:	304-697-1588

Provider Business Practice Location Address
First Line	:	527 31ST ST
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25702-1716
Country	:	US
Telephone Number	:	304-697-1807
Fax Number	:	304-697-1588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2009
Last Update Date	:	09/07/2009

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