Healthcare Provider Details

I. General information

NPI: 1396146445
Provider Name (Legal Business Name): DAUPHIN MEDHEALTH COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 ALLEGHENY ST STE 1
DAUPHIN PA
17018-8902
US

IV. Provider business mailing address

722 ALLEGHENY ST STE 1
DAUPHIN PA
17018-8902
US

V. Phone/Fax

Practice location:
  • Phone: 717-474-8343
  • Fax: 717-474-8326
Mailing address:
  • Phone: 717-474-8343
  • Fax: 717-474-8326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP411726L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RONG ZHENG
Title or Position: MANAGER
Credential: PHD
Phone: 914-886-8001