Provider Demographics
NPI:1346228236
Name:MCCOY, DANIEL J (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:MCCOY
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 1:127 CRESCENT HILL DR
Mailing Address - Street 2:
Mailing Address - City:SARVER
Mailing Address - State:PA
Mailing Address - Zip Code:16055-9704
Mailing Address - Country:US
Mailing Address - Phone:724-353-0153
Mailing Address - Fax:
Practice Address - Street 1:708 EKASTOWN RD
Practice Address - Street 2:
Practice Address - City:SARVER
Practice Address - State:PA
Practice Address - Zip Code:16055-9724
Practice Address - Country:US
Practice Address - Phone:724-353-1420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045384R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist