Healthcare Provider Details

I. General information

NPI: 1699751602
Provider Name (Legal Business Name): DANIEL N. SCHREINER R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 10/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SOUTH 4TH STREET
GLENROCK WY
82637-0940
US

IV. Provider business mailing address

PO BOX 50668
CASPER WY
82605-0668
US

V. Phone/Fax

Practice location:
  • Phone: 307-436-9611
  • Fax: 307-436-8933
Mailing address:
  • Phone: 307-265-1780
  • Fax: 307-265-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5202471
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: