Provider Demographics
NPI:1053693960
Name:THOENE, DANIEL J (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:THOENE
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6283
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92248-6283
Mailing Address - Country:US
Mailing Address - Phone:760-285-7141
Mailing Address - Fax:760-674-8287
Practice Address - Street 1:44830 MONTEREY AVE
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3325
Practice Address - Country:US
Practice Address - Phone:760-674-0716
Practice Address - Fax:760-674-8287
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 43068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist