Provider Demographics
NPI:1194942607
Name:RUSHTON, DORCAS DAWN (RPH)
Entity type:Individual
Prefix:
First Name:DORCAS
Middle Name:DAWN
Last Name:RUSHTON
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 1:1 BLOSSOM LANE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1999
Mailing Address - Country:US
Mailing Address - Phone:508-881-2097
Mailing Address - Fax:
Practice Address - Street 1:1 BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1999
Practice Address - Country:US
Practice Address - Phone:508-881-2097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT150297-1701183500000X
MA23020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist