Provider Demographics
NPI:1083751606
Name:SCHMIDT, DANNY L (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:L
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:DAN
Other - Middle Name:L
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:17 OAK BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-6614
Mailing Address - Country:US
Mailing Address - Phone:864-268-4165
Mailing Address - Fax:
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5611
Practice Address - Country:US
Practice Address - Phone:864-455-8815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC011282183500000X
IA15551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist