Provider Demographics
NPI:1902019904
Name:KRINSKY, DANIEL L (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:KRINSKY
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 1:2816 SEDGE GRASS TRL
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-5934
Mailing Address - Country:US
Mailing Address - Phone:330-678-6462
Mailing Address - Fax:
Practice Address - Street 1:4042 CLEVELAND AVE S
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44707-1334
Practice Address - Country:US
Practice Address - Phone:330-484-3947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03314255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist