Provider Demographics
NPI:1336350172
Name:DOBBINS, DWIGHT A (RPH)
Entity type:Individual
Prefix:MR
First Name:DWIGHT
Middle Name:A
Last Name:DOBBINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W HARDING RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-1707
Mailing Address - Country:US
Mailing Address - Phone:937-399-8531
Mailing Address - Fax:937-399-4911
Practice Address - Street 1:400 W HARDING RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-1707
Practice Address - Country:US
Practice Address - Phone:937-399-8531
Practice Address - Fax:937-399-4911
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03318519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist