Individual
MR. DANIEL J DEODATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
803 MALE RD, WIND GAP, PA 18091-1500
(610) 863-7535
(610) 863-1016
Mailing address
803 MALE RD, WIND GAP, PA 18091-1500
(610) 863-7535
(610) 863-1016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28R101800800
NJ
183500000X
Pharmacist
Primary
RP036470R
PA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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