Healthcare Provider Details

I. General information

NPI: 1871579201
Provider Name (Legal Business Name): DENISE MARIE WARHOLA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2005
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 MAIN STREET
DICKSON CITY PA
18519
US

IV. Provider business mailing address

334 2ND ST
EYNON PA
18403-1445
US

V. Phone/Fax

Practice location:
  • Phone: 570-383-3211
  • Fax:
Mailing address:
  • Phone: 570-241-3488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP040729L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: