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NPI Code Detail

MEDICARE: DR. DANIEL WILLIAM HELLER PHARM.D., CDM

MEDICARE: DR. DANIEL WILLIAM HELLER PHARM.D., CDM
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
1183500000XPharmacist15410NV

General Provider Information

NPI Number : 1821150095
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL WILLIAM HELLER PHARM.D., CDM
Provider Business Mailing Address
First Line : 9775 PIONEER AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-8417
Country : US
Telephone Number : 702-616-3877
Fax Number :
Provider Business Practice Location Address
First Line : 10250 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1020
Country : US
Telephone Number : 702-838-3591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/08/2007

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