Healthcare Provider Details

I. General information

NPI: 1023618287
Provider Name (Legal Business Name): ANNETTE DENNEY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 E PERKINS AVE
SANDUSKY OH
44870-4905
US

IV. Provider business mailing address

226 E PERKINS AVE
SANDUSKY OH
44870-4905
US

V. Phone/Fax

Practice location:
  • Phone: 419-239-2624
  • Fax: 419-239-2628
Mailing address:
  • Phone: 419-239-2624
  • Fax: 419-239-2628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03318372
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: