Healthcare Provider Details

I. General information

NPI: 1477441806
Provider Name (Legal Business Name): DANIEL HEPPNER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W STATE ST
ALLIANCE OH
44601-5603
US

IV. Provider business mailing address

5265 MEESE RD NE
LOUISVILLE OH
44641-9162
US

V. Phone/Fax

Practice location:
  • Phone: 234-268-1410
  • Fax:
Mailing address:
  • Phone: 330-605-1434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03445470
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: