Jerry Dannenberg, R.Ph.
Pharmacist in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1508167263
StatusActive
Last updated in NPPESNov 11, 2010
Details
- NPI
- 1508167263
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerry Dannenberg
- Credential
- R.Ph.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2010
- Last updated
- Nov 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 47672 | CA | Yes |
Practice location
100 Calistoga RdSanta Rosa, CA 95409-3702
Phone 707-539-2129
Mailing address
100 Calistoga RdSanta Rosa, CA 95409-3702
Phone 707-537-1176
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