Provider Demographics
NPI:1366910150
Name:CONNORS, DEANNA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:MARIE
Last Name:CONNORS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20600 SENECA MEADOWS PKWY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7022
Mailing Address - Country:US
Mailing Address - Phone:240-499-0745
Mailing Address - Fax:240-499-0798
Practice Address - Street 1:20600 SENECA MEADOWS PKWY
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7022
Practice Address - Country:US
Practice Address - Phone:240-499-0794
Practice Address - Fax:240-499-0798
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist