Provider Demographics
NPI:1164722641
Name:DANIELS, ANDREW PETER (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:PETER
Last Name:DANIELS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 W NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-4275
Mailing Address - Country:US
Mailing Address - Phone:509-327-5010
Mailing Address - Fax:509-327-5368
Practice Address - Street 1:1616 W NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4275
Practice Address - Country:US
Practice Address - Phone:509-327-5010
Practice Address - Fax:509-327-5368
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00019353183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist