Provider Demographics
NPI:1477887370
Name:INNAMORATO, DANNY (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:INNAMORATO
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 1:30 PATERSON PL
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2322
Mailing Address - Country:US
Mailing Address - Phone:973-383-4235
Mailing Address - Fax:
Practice Address - Street 1:10 ROUTE 23 NORTH
Practice Address - Street 2:
Practice Address - City:MONTAGUE
Practice Address - State:NJ
Practice Address - Zip Code:07827
Practice Address - Country:US
Practice Address - Phone:973-293-3273
Practice Address - Fax:973-293-7266
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01741000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist