Provider Demographics
NPI:1720426158
Name:QUINN, DANIEL PHILIP (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PHILIP
Last Name:QUINN
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 1:641 LYONS RD APT 11205
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33063-6718
Mailing Address - Country:US
Mailing Address - Phone:954-213-3540
Mailing Address - Fax:
Practice Address - Street 1:11000 PEMBROKE RD
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-1704
Practice Address - Country:US
Practice Address - Phone:954-441-7924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist