Healthcare Provider Details

I. General information

NPI: 1790185296
Provider Name (Legal Business Name): DANIEL PAYNE TOELLNER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 BOWER HILL RD
PITTSBURGH PA
15243-1301
US

IV. Provider business mailing address

10 PENN TOWNE DRIVE
IRWIN PA
15642-7901
US

V. Phone/Fax

Practice location:
  • Phone: 412-923-1550
  • Fax:
Mailing address:
  • Phone: 724-809-1966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP448211
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: