Provider Demographics
NPI:1124286281
Name:JANISH, DANIEL M (PHARMACIST)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:JANISH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9217 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1931
Mailing Address - Country:US
Mailing Address - Phone:716-634-7901
Mailing Address - Fax:716-634-7907
Practice Address - Street 1:9217 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-1931
Practice Address - Country:US
Practice Address - Phone:716-634-7901
Practice Address - Fax:716-634-7907
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist