| Doctor Name: | DANIEL E CARPENTER |
| NPI Number: | 1124151162 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH., BCNP |
| License Number: | 8162 |
| Business Practice Address: | 628 Hebron Ave Bldg 4 Glastonbury, CT - 060335017 |
| Business Phone Number: | 8606572520 |
| Business Fax Number: | 8606339805 |
| Mailing Address: | 112 Belle Woods Dr, GLASTONBURY |
| State: | CT |
| Postal Code: | 060331670 |
| Phone Number: | 8606331334 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835N0905X |
| License Number: | 8162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Nuclear |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |