Provider Demographics
NPI:1790185296
Name:TOELLNER, DANIEL PAYNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PAYNE
Last Name:TOELLNER
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 1:10 PENN TOWNE DRIVE
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-7901
Mailing Address - Country:US
Mailing Address - Phone:724-809-1966
Mailing Address - Fax:
Practice Address - Street 1:1121 BOWER HILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1301
Practice Address - Country:US
Practice Address - Phone:412-923-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist