Provider Demographics
NPI:1134404874
Name:SCALES, DANIEL ALAN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALAN
Last Name:SCALES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1314
Mailing Address - Country:US
Mailing Address - Phone:303-218-0944
Mailing Address - Fax:
Practice Address - Street 1:1999 PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1314
Practice Address - Country:US
Practice Address - Phone:303-974-5424
Practice Address - Fax:720-335-6065
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO117733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO117733OtherLICENSE