Provider Demographics
NPI:1134447956
Name:NAWROCKI, DANIEL A JR (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:NAWROCKI
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1700 PEACH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-2134
Mailing Address - Country:US
Mailing Address - Phone:814-877-6464
Mailing Address - Fax:814-453-2440
Practice Address - Street 1:1700 PEACH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-2134
Practice Address - Country:US
Practice Address - Phone:814-877-6464
Practice Address - Fax:814-453-2440
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARP036073L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist