Provider Demographics
NPI:1053805168
Name:TOGONON, DENNIS (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:
Last Name:TOGONON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 CANTERBURY CIR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-8221
Mailing Address - Country:US
Mailing Address - Phone:707-208-9818
Mailing Address - Fax:
Practice Address - Street 1:4047 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6007
Practice Address - Country:US
Practice Address - Phone:775-825-2476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist