Healthcare Provider Details

I. General information

NPI: 1750756805
Provider Name (Legal Business Name): DANIEL LOUIE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 12/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 STOCKTON BLVD SUITE 1200
SACRAMENTO CA
95817-2209
US

IV. Provider business mailing address

2360 STOCKTON BLVD SUITE 1200
SACRAMENTO CA
95817-2209
US

V. Phone/Fax

Practice location:
  • Phone: 916-703-5501
  • Fax:
Mailing address:
  • Phone: 916-703-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number64530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: