MEDICARE: DANIEL ARTHUR SECKLER RPH

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
1	183500000X	Pharmacist	PS12117	FL

General Provider Information

NPI Number	:	1326013939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ARTHUR SECKLER RPH

Provider Business Mailing Address
First Line	:	2439 ROLLING OAKS DR
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-2736
Country	:	US
Telephone Number	:	727-510-9538
Fax Number	:	727-789-9554

Provider Business Practice Location Address
First Line	:	2439 ROLLING OAKS DR
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-2736
Country	:	US
Telephone Number	:	727-510-9538
Fax Number	:	727-789-9554

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2006
Last Update Date	:	07/08/2007

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