Provider Demographics
NPI:1699751602
Name:SCHREINER, DANIEL N (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:N
Last Name:SCHREINER
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:PO BOX 50668
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82605-0668
Mailing Address - Country:US
Mailing Address - Phone:307-265-1780
Mailing Address - Fax:307-265-4465
Practice Address - Street 1:215 SOUTH 4TH STREET
Practice Address - Street 2:
Practice Address - City:GLENROCK
Practice Address - State:WY
Practice Address - Zip Code:82637-0940
Practice Address - Country:US
Practice Address - Phone:307-436-9611
Practice Address - Fax:307-436-8933
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY5202471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist