Healthcare Provider Details

I. General information

NPI: 1245765064
Provider Name (Legal Business Name): DANIELLE HOPE MCCLELLAND PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE HOPE CARPENTER PHARMD

II. Dates (important events)

Enumeration Date: 04/30/2017
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4241 IRWIN SIMPSON RD BLDG II
MASON OH
45040
US

IV. Provider business mailing address

5792 MEDALLION DR W
WESTERVILLE OH
43082
US

V. Phone/Fax

Practice location:
  • Phone: 866-787-6341
  • Fax: 614-410-2009
Mailing address:
  • Phone: 614-805-4481
  • Fax: 614-410-2009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03233308
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: