MEDICARE: ROBERT J MCDANIEL 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	RP035109L	PA
2	183500000X	Pharmacist	RPI002114	PA

General Provider Information

NPI Number	:	1588945588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J MCDANIEL RPH

Provider Business Mailing Address
First Line	:	3392 GARNET MINE RD
Second Line	:
City	:	GARNET VALLEY
State	:	PA
Zip	:	19060-1720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 NAAMANS CREEK RD
Second Line	:
City	:	UPPER CHICHESTER
State	:	PA
Zip	:	19061-3348
Country	:	US
Telephone Number	:	484-490-1030
Fax Number	:	484-490-1036

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

Provider Enumeration Date	:	09/02/2011
Last Update Date	:	09/02/2011

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