MEDICARE: DANIELLE MARIE MCCONNELL 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	03232545	OH

General Provider Information

NPI Number	:	1306288592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MARIE MCCONNELL RPH

Provider Business Mailing Address
First Line	:	26610 N PARK BLVD
Second Line	:
City	:	OLMSTED FALLS
State	:	OH
Zip	:	44138-2640
Country	:	US
Telephone Number	:	440-465-9414
Fax Number	:

Provider Business Practice Location Address
First Line	:	1970 LEE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2555
Country	:	US
Telephone Number	:	216-470-7061
Fax Number	:

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

Provider Enumeration Date	:	07/29/2013
Last Update Date	:	07/29/2013

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Directions to “ DANIELLE MARIE MCCONNELL RPH” Practice Location

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