Healthcare Provider Details

I. General information

NPI: 1861045403
Provider Name (Legal Business Name): DANIELLE L POLLEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE L EATON

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 12/05/2022
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 HARRISON AVE STE 2500
CINCINNATI OH
45248-1726
US

IV. Provider business mailing address

2100 SHERMAN AVE
CINCINNATI OH
45212-2791
US

V. Phone/Fax

Practice location:
  • Phone: 513-801-7696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03237267
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: