Provider Demographics
NPI:1205341807
Name:ZWEIFEL, DANIEL ADAM (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ADAM
Last Name:ZWEIFEL
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 1:54 HANOVER RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1326
Mailing Address - Country:US
Mailing Address - Phone:317-209-6060
Mailing Address - Fax:
Practice Address - Street 1:46 DANBURY RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4019
Practice Address - Country:US
Practice Address - Phone:203-894-8744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00141363336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy