Provider Demographics
NPI:1134455751
Name:VENTURI, DANIELLE (RPH)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:VENTURI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 ICE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-9651
Mailing Address - Country:US
Mailing Address - Phone:570-868-6166
Mailing Address - Fax:570-868-0163
Practice Address - Street 1:205 ICE LAKE DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707-9651
Practice Address - Country:US
Practice Address - Phone:570-868-6166
Practice Address - Fax:570-868-6166
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037559L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist