Provider Demographics
NPI:1194885418
Name:DANIELS PHARMACY
Entity type:Organization
Organization Name:DANIELS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:IYAD
Authorized Official - Middle Name:IBRAHIM
Authorized Official - Last Name:NASRAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:415-584-2210
Mailing Address - Street 1:943 GENEVA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3402
Mailing Address - Country:US
Mailing Address - Phone:415-584-2210
Mailing Address - Fax:415-584-2202
Practice Address - Street 1:943 GENEVA AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-3402
Practice Address - Country:US
Practice Address - Phone:415-584-2210
Practice Address - Fax:415-584-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY367400333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy