Provider Demographics
NPI:1538938840
Name:PENNOCK, DANIELLE MARIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:MARIA
Last Name:PENNOCK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-1253
Mailing Address - Country:US
Mailing Address - Phone:215-479-2314
Mailing Address - Fax:
Practice Address - Street 1:3250 S 76TH ST STE 400
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-3255
Practice Address - Country:US
Practice Address - Phone:215-594-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist