Provider Demographics
NPI:1356637417
Name:FINN, DANIEL J (RPH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:FINN
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 1:70 WORCESTER PROVIDENCE TPKE
Mailing Address - Street 2:T-1835
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-2663
Mailing Address - Country:US
Mailing Address - Phone:508-865-7454
Mailing Address - Fax:508-865-7454
Practice Address - Street 1:70 WORCESTER PROVIDENCE TPKE
Practice Address - Street 2:T-1835
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-2663
Practice Address - Country:US
Practice Address - Phone:508-865-7454
Practice Address - Fax:508-865-7454
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16846183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist