Provider Demographics
NPI:1053721720
Name:NOWAK, DANIEL (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:NOWAK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8740 N STONE MILL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9832
Mailing Address - Country:US
Mailing Address - Phone:419-843-8310
Mailing Address - Fax:419-843-8365
Practice Address - Street 1:7340 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1121
Practice Address - Country:US
Practice Address - Phone:419-843-8310
Practice Address - Fax:419-843-8365
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033199751835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy