NPI 1053922633

Joe Daniel, RPH

Practitioner Pharmacist Riverside, CT

Practice location

Address: 1333 E Putnam Ave, Riverside, CT 06878-1529
Phone: (203) 637-1496
Mailing address: 192 Sedgwick Ave, Yonkers, NY 10705-2672

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0014706 (CT)

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Registry record

NPI: 1053922633
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2020
Record last updated: 27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.