Provider Demographics
NPI:1326167636
Name:SWEENEY, DANIEL E (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:E
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 HUNTINGTON CT
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5635
Mailing Address - Country:US
Mailing Address - Phone:727-434-4569
Mailing Address - Fax:727-394-6540
Practice Address - Street 1:8452 118TH AVE
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-5007
Practice Address - Country:US
Practice Address - Phone:727-394-6510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4641400001Medicare ID - Type Unspecified