Daniel E. Marr, RPH
Individual provider Active NPI Pharmacist · Pawcatuck, CT
NPI 1730207408 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730207408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4924 (CT)
- Practice address
- 18 Johnson St
Pawcatuck, CT 06379-2203 - Phone
- (860) 599-8879
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4924 | CT | Yes |
Addresses
Primary practice location
18 Johnson St
Pawcatuck, CT 06379-2203
Mailing address
18 Johnson St
Pawcatuck, CT 06379-2203
Phone (860) 599-8879
Other providers in Pawcatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.