Healthcare Provider Details

I. General information

NPI: 1972107050
Provider Name (Legal Business Name): DANIEL IOTT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4925 JACKMAN RD
TOLEDO OH
43613-3574
US

IV. Provider business mailing address

2416 DENSMORE DR
TOLEDO OH
43606-3171
US

V. Phone/Fax

Practice location:
  • Phone: 419-475-9103
  • Fax:
Mailing address:
  • Phone: 734-621-2287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03438901
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: