Provider Demographics
NPI:1407138548
Name:KRYGIELL, DANIEL HENRY (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:HENRY
Last Name:KRYGIELL
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 1:3210 N TENAYA WAY
Mailing Address - Street 2:0826
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6239
Mailing Address - Country:US
Mailing Address - Phone:702-396-7840
Mailing Address - Fax:702-396-7840
Practice Address - Street 1:3210 N TENAYA WAY
Practice Address - Street 2:0826
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6239
Practice Address - Country:US
Practice Address - Phone:702-396-7840
Practice Address - Fax:702-396-7840
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12157183500000X
MI025103183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist