Provider Demographics
NPI:1750907655
Name:CUMMINGS, DANIELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2937 HICKORY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IA
Mailing Address - Zip Code:50240-8519
Mailing Address - Country:US
Mailing Address - Phone:515-240-4213
Mailing Address - Fax:641-782-6960
Practice Address - Street 1:806 LAUREL ST
Practice Address - Street 2:
Practice Address - City:CRESTON
Practice Address - State:IA
Practice Address - Zip Code:50801-3554
Practice Address - Country:US
Practice Address - Phone:641-782-6951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA174141835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care