Provider Demographics
NPI:1134568173
Name:DANIELS, RONALD WESTLEY (RPH)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:WESTLEY
Last Name:DANIELS
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 1:17 S 20TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-3528
Mailing Address - Country:US
Mailing Address - Phone:215-567-6870
Mailing Address - Fax:215-563-1930
Practice Address - Street 1:17 S 20TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-3528
Practice Address - Country:US
Practice Address - Phone:215-567-6870
Practice Address - Fax:215-563-1930
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-034448-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist