Individual
MR. JOE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1333 E PUTNAM AVE, RIVERSIDE, CT 06878-1529
(203) 637-1496
Mailing address
192 SEDGWICK AVE, YONKERS, NY 10705-2672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014706
CT
Other
Enumeration date
08/16/2020
Last updated
11/27/2023
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