Provider Demographics
NPI:1104391457
Name:IONESCU, DANIELA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:IONESCU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:DANIELA
Other - Middle Name:
Other - Last Name:GHEORGHITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:3300 PUBLIX CORPORATE PKWY
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33811-3311
Mailing Address - Country:US
Mailing Address - Phone:863-688-1188
Mailing Address - Fax:
Practice Address - Street 1:30535 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-4415
Practice Address - Country:US
Practice Address - Phone:727-787-8802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS33442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist