Healthcare Provider Details

I. General information

NPI: 1336223668
Provider Name (Legal Business Name): DANIEL E FIORE R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 REYNOLDS STREET
DANIELSON CT
06239
US

IV. Provider business mailing address

33 OAKRIDGE DRIVE
BROOKLYN CT
06234
US

V. Phone/Fax

Practice location:
  • Phone: 860-779-1136
  • Fax:
Mailing address:
  • Phone: 860-779-3314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4964
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier8907792000
Identifier TypeOTHER
Identifier StateCT
Identifier IssuerSTATE TAX ID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: