Provider Demographics
NPI:1346782356
Name:BADAL, DANIELLA (PHARMD)
Entity type:Individual
Prefix:MS
First Name:DANIELLA
Middle Name:
Last Name:BADAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 NW 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4827
Mailing Address - Country:US
Mailing Address - Phone:954-724-4183
Mailing Address - Fax:
Practice Address - Street 1:8015 NW 75TH AVE
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4827
Practice Address - Country:US
Practice Address - Phone:954-724-4183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062435183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist