Individual
MR. DANIEL LEE FAHRNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2379 PLAINFIELD RD, CREST HILL, IL 60403-1848
(815) 730-8663
Mailing address
218 MEADOW WOOD DR, JOLIET, IL 60431-4810
(815) 725-7701
(815) 730-8677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051034795
IL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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