Provider Demographics
NPI:1598580375
Name:DENGLER, RAYMOND WILLIAM III (PHARMD)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:WILLIAM
Last Name:DENGLER
Suffix:III
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 1:104 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:WEST VIEW
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1265
Mailing Address - Country:US
Mailing Address - Phone:412-995-0624
Mailing Address - Fax:
Practice Address - Street 1:2351 CENTURY DR
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2498
Practice Address - Country:US
Practice Address - Phone:412-655-3909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458987183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist