Provider Demographics
NPI:1699948497
Name:LEFKOWITZ, DANIEL ROBERT (PHARM D)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ROBERT
Last Name:LEFKOWITZ
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 GREENWICH AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1214
Mailing Address - Country:US
Mailing Address - Phone:401-732-4797
Mailing Address - Fax:
Practice Address - Street 1:135 PITMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5112
Practice Address - Country:US
Practice Address - Phone:401-861-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH04673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist