MEDICARE: MR. DEAN THOMAS PARRY 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	1835P1200X	Pharmacotherapy Pharmacist	RP031547L	PA

General Provider Information

NPI Number	:	1881692994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DEAN THOMAS PARRY R.PH

Provider Business Mailing Address
First Line	:	245 ASH ST
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17821-1105
Country	:	US
Telephone Number	:	570-275-3334
Fax Number	:

Provider Business Practice Location Address
First Line	:	GEISINGER MEDICAL CENTER, SYSTEM THERAPEUTICS DEPT
Second Line	:	100 N. ACADEMY AVENUE
City	:	DANVILLE
State	:	PA
Zip	:	17822-0001
Country	:	US
Telephone Number	:	570-271-8013
Fax Number	:	570-271-5975

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/08/2007

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