Organization Name: | DANIELSON PHARMACY INC |
NPI Number: | 1063624922 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT F NETHERCOTE (OWNER PRESIDENT) |
Mailing Address: | 77 Westcott Rd Danielson |
State: | CT US |
Postal Code: | 062392929 |
Phone Number: | 8607749362 |
Fax Number: | 8607792647 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 159 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |