Healthcare Provider Details

I. General information

NPI: 1053190603
Provider Name (Legal Business Name): ERIC JOHN DANIELS PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 92
PLACERVILLE CA
95667-0092
US

IV. Provider business mailing address

PO BOX 92
PLACERVILLE CA
95667-0092
US

V. Phone/Fax

Practice location:
  • Phone: 530-206-6377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number88477
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2261177
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: