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NPI Code Detail

MEDICARE: MRS. MALISSA DANCEY PHARM D

MEDICARE: MRS. MALISSA DANCEY PHARM D
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
1183500000XPharmacist62327CA

General Provider Information

NPI Number : 1770868473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MALISSA DANCEY PHARM D
Provider Business Mailing Address
First Line : 980 E CYPRESS AVE
Second Line :
City : REDDING
State : CA
Zip : 96002-1002
Country : US
Telephone Number : 530-221-5028
Fax Number : 530-221-8165
Provider Business Practice Location Address
First Line : 980 E CYPRESS AVE
Second Line :
City : REDDING
State : CA
Zip : 96002-1002
Country : US
Telephone Number : 530-221-5028
Fax Number : 530-221-8165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2011
Last Update Date : 10/14/2011

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Directions to “ MRS. MALISSA DANCEY PHARM D” Practice Location

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