Individual
JOHN DANIEL KUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1058 HOPE ST, STAMFORD, CT 06907-2110
(203) 325-5172
Mailing address
400 S MARGINAL RD, JERICHO, NY 11753-1913
(716) 940-6586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14605
CT
183500000X
Pharmacist
PCT.14605
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.14605
STATE OF CONNECTICUT PHARMACIST LICENSE NUMBER
CT
Enumeration date
04/29/2020
Last updated
04/29/2020
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