Provider Demographics
NPI:1447045505
Name:ELNAAS, DEAN (RPH)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:
Last Name:ELNAAS
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5138 EXPLORER DR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-8247
Mailing Address - Country:US
Mailing Address - Phone:330-831-4858
Mailing Address - Fax:
Practice Address - Street 1:5121 SOUTH WESTNEDGE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:19002
Practice Address - Country:US
Practice Address - Phone:269-337-2110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302417262183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist