Healthcare Provider Details
I. General information
NPI: 1215653548
Provider Name (Legal Business Name): DANIELLE LYN ZUMPELLA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/18/2022
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
520 GYPSY LN
YOUNGSTOWN OH
44504-1315
US
IV. Provider business mailing address
1597 ROSEHEDGE DR
POLAND OH
44514-3611
US
V. Phone/Fax
- Phone: 330-744-0707
- Fax: 330-744-1244
- Phone: 330-559-8786
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 03329030 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: