Provider Demographics
NPI:1679690903
Name:SCEARS, DANI JOANNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:DANI
Middle Name:JOANNE
Last Name:SCEARS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 MAYVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1547
Mailing Address - Country:US
Mailing Address - Phone:412-257-6288
Mailing Address - Fax:412-257-6829
Practice Address - Street 1:1601 MAYVIEW RD
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1547
Practice Address - Country:US
Practice Address - Phone:412-257-6288
Practice Address - Fax:412-257-6829
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032033L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist