Provider Demographics
NPI:1366768012
Name:FEUER, DANIEL J (RPH)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:FEUER
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 1:4915 RED ROCK DR
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-9054
Mailing Address - Country:US
Mailing Address - Phone:303-324-1905
Mailing Address - Fax:303-681-3451
Practice Address - Street 1:4915 RED ROCK DR
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CO
Practice Address - Zip Code:80118-9054
Practice Address - Country:US
Practice Address - Phone:303-324-1905
Practice Address - Fax:303-681-3451
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO102941835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO10294OtherCOLORADO STATE BOARD OF PHARMACY