Provider Demographics
NPI:1689996803
Name:DIMPEL, DANIEL M (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:DIMPEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 W BARR ST
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057-1423
Mailing Address - Country:US
Mailing Address - Phone:724-926-2117
Mailing Address - Fax:724-926-8129
Practice Address - Street 1:303 W BARR ST
Practice Address - Street 2:
Practice Address - City:MC DONALD
Practice Address - State:PA
Practice Address - Zip Code:15057-1423
Practice Address - Country:US
Practice Address - Phone:724-926-2117
Practice Address - Fax:724-926-8129
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist