MEDICARE: DR. DANIEL ANTHONY PERRY PHARMD, 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	RP446405	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RP446405	OTHER	PA	COMMONWEALTH OF PENNSYLVANIA

General Provider Information

NPI Number	:	1801142419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ANTHONY PERRY PHARMD, RPH

Provider Business Mailing Address
First Line	:	847 MIDLAND AVE
Second Line	:
City	:	MIDLAND
State	:	PA
Zip	:	15059-1511
Country	:	US
Telephone Number	:	724-643-6520
Fax Number	:	724-643-2665

Provider Business Practice Location Address
First Line	:	847 MIDLAND AVE
Second Line	:
City	:	MIDLAND
State	:	PA
Zip	:	15059-1511
Country	:	US
Telephone Number	:	724-643-6520
Fax Number	:	724-643-2665

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

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	08/01/2012

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