Provider Demographics
NPI:1427296169
Name:PENTZ, CLINT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CLINT
Middle Name:
Last Name:PENTZ
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 1:14728 HONODEL RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-9083
Mailing Address - Country:US
Mailing Address - Phone:717-762-7939
Mailing Address - Fax:
Practice Address - Street 1:14728 HONODEL RD
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-9083
Practice Address - Country:US
Practice Address - Phone:717-762-7939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist