Healthcare Provider Details

I. General information

NPI: 1730598442
Provider Name (Legal Business Name): DANIELLE TOTTEN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 N WEST ST
WICHITA KS
67203-1211
US

IV. Provider business mailing address

640 N WEST ST
WICHITA KS
67203-1211
US

V. Phone/Fax

Practice location:
  • Phone: 316-941-1927
  • Fax: 316-941-1928
Mailing address:
  • Phone: 316-941-1927
  • Fax: 316-941-1928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-14514
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: