Provider Demographics
NPI:1932507068
Name:ENZWEILER, DAWN (RPH)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:ENZWEILER
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 1:645 E PALOMAR ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6974
Mailing Address - Country:US
Mailing Address - Phone:619-421-6500
Mailing Address - Fax:619-421-7075
Practice Address - Street 1:645 E PALOMAR ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6974
Practice Address - Country:US
Practice Address - Phone:619-316-0330
Practice Address - Fax:619-316-0330
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039807L183500000X
CA47858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist