Provider Demographics
NPI:1447534805
Name:SINGH, DIMENT D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DIMENT
Middle Name:D
Last Name:SINGH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 JUNIPER DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-5521
Mailing Address - Country:US
Mailing Address - Phone:530-867-2568
Mailing Address - Fax:
Practice Address - Street 1:5815 SECOR RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-1421
Practice Address - Country:US
Practice Address - Phone:419-472-8610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist