Provider Demographics
NPI:1104561778
Name:DIMUZIO, BRITTANY A (RPH)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:DIMUZIO
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 1:3030 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-2158
Mailing Address - Country:US
Mailing Address - Phone:330-707-9001
Mailing Address - Fax:330-707-9002
Practice Address - Street 1:3030 CENTER RD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-2158
Practice Address - Country:US
Practice Address - Phone:330-707-9001
Practice Address - Fax:330-707-9002
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03333236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist