MEDICARE: DANIEL GRANT KARANT RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03113049	OH

General Provider Information

NPI Number	:	1013506542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL GRANT KARANT RPH

Provider Business Mailing Address
First Line	:	3300 GREENWICH RD UNIT 14
Second Line	:
City	:	NORTON
State	:	OH
Zip	:	44203-5781
Country	:	US
Telephone Number	:	330-825-7676
Fax Number	:	330-825-3656

Provider Business Practice Location Address
First Line	:	3300 GREENWICH RD UNIT 14
Second Line	:
City	:	NORTON
State	:	OH
Zip	:	44203-5781
Country	:	US
Telephone Number	:	330-825-7676
Fax Number	:	330-825-3656

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	01/11/2021

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