Provider Demographics
NPI:1770235681
Name:MCLAUGHLIN, DANIELLE ANN
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:ANN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11320 W PORTAGE RIVER SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-9699
Mailing Address - Country:US
Mailing Address - Phone:419-898-0954
Mailing Address - Fax:
Practice Address - Street 1:279 W WATER ST
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-1335
Practice Address - Country:US
Practice Address - Phone:419-898-0954
Practice Address - Fax:419-898-0586
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09211182183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician