Provider Demographics
NPI:1831197151
Name:DANIEL, JOHN F III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:DANIEL
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1114 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-4004
Mailing Address - Country:US
Mailing Address - Phone:515-573-3431
Mailing Address - Fax:515-573-4116
Practice Address - Street 1:1114 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-4004
Practice Address - Country:US
Practice Address - Phone:515-573-3431
Practice Address - Fax:515-573-4116
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist