| Doctor Name: | DANIEL STONE NOVAK |
| NPI Number: | 1194161745 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH |
| License Number: | 32979 |
| Business Practice Address: | 541 S Reino Rd Newbury Park, CA - 91320 |
| Business Phone Number: | 8054997549 |
| Business Fax Number: | |
| Mailing Address: | 4529 Lubbock Dr, SIMI VALLEY |
| State: | CA |
| Postal Code: | 930631744 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2013 |
| NPI Last Update Date: | 07/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | 32979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |