Provider Demographics
NPI:1982439469
Name:HRYNKO, DANIIL PAVLOVICH (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIIL
Middle Name:PAVLOVICH
Last Name:HRYNKO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 S VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-7452
Mailing Address - Country:US
Mailing Address - Phone:540-448-1059
Mailing Address - Fax:
Practice Address - Street 1:1942 PORT REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-3532
Practice Address - Country:US
Practice Address - Phone:540-282-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202222274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist