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NPI Code Detail

MEDICARE: DR. DANIEL ROEHL PHARM D.

MEDICARE: DR. DANIEL ROEHL PHARM D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist121436MN

General Provider Information

NPI Number : 1255742144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL ROEHL PHARM D.
Provider Business Mailing Address
First Line : 11401 MARKETPLACE DR N
Second Line :
City : CHAMPLIN
State : MN
Zip : 55316-3794
Country : US
Telephone Number : 763-427-6389
Fax Number :
Provider Business Practice Location Address
First Line : 11401 MARKETPLACE DR N
Second Line :
City : CHAMPLIN
State : MN
Zip : 55316-3794
Country : US
Telephone Number : 763-427-6389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2014
Last Update Date : 05/13/2014

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Directions to “ DR. DANIEL ROEHL PHARM D.” Practice Location

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