Provider Demographics
NPI:1215144423
Name:FOX, DANA ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:ANN
Last Name:FOX
Suffix:
Gender:F
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:HC 35 BOX 19A
Mailing Address - Street 2:
Mailing Address - City:NAPIER
Mailing Address - State:WV
Mailing Address - Zip Code:26631-9704
Mailing Address - Country:US
Mailing Address - Phone:304-692-0583
Mailing Address - Fax:
Practice Address - Street 1:1 MED CENTER DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-4155
Practice Address - Country:US
Practice Address - Phone:304-623-3461
Practice Address - Fax:304-623-7690
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist