MEDICARE: MRS. DANIELLE ANN MCLAUGHLIN

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	183700000X	Pharmacy Technician	09211182	OH

General Provider Information

NPI Number	:	1770235681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE ANN MCLAUGHLIN

Provider Business Mailing Address
First Line	:	11320 W PORTAGE RIVER SOUTH RD
Second Line	:
City	:	OAK HARBOR
State	:	OH
Zip	:	43449-9699
Country	:	US
Telephone Number	:	419-898-0954
Fax Number	:

Provider Business Practice Location Address
First Line	:	279 W WATER ST
Second Line	:
City	:	OAK HARBOR
State	:	OH
Zip	:	43449-1335
Country	:	US
Telephone Number	:	419-898-0954
Fax Number	:	419-898-0586

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

Provider Enumeration Date	:	01/21/2022
Last Update Date	:	01/21/2022

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