Provider Demographics
NPI:1750590519
Name:READ, DENNIS TODD (RPH)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:TODD
Last Name:READ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 WANSLEY RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440-3235
Mailing Address - Country:US
Mailing Address - Phone:601-649-2438
Mailing Address - Fax:601-649-2438
Practice Address - Street 1:922 HIGHWAY 15 NORTH
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440
Practice Address - Country:US
Practice Address - Phone:601-428-8839
Practice Address - Fax:601-428-5862
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-5651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist