Provider Demographics
NPI:1144502766
Name:TESSMER, DENISE LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:LYNN
Last Name:TESSMER
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 1:1500 BEAVER BROOK PLZ
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-8633
Mailing Address - Country:US
Mailing Address - Phone:302-327-1060
Mailing Address - Fax:302-327-1066
Practice Address - Street 1:1500 BEAVER BROOK PLZ
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-8633
Practice Address - Country:US
Practice Address - Phone:302-327-1060
Practice Address - Fax:302-327-1066
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-10
Last Update Date:2011-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003344183500000X
NJ28RI02920200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist