Provider Demographics
NPI:1801922935
Name:KOCHIS, DANIEL C (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:C
Last Name:KOCHIS
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 1:39 SUMMIT PT
Mailing Address - Street 2:P.O. BOX 125
Mailing Address - City:SCENERY HILL
Mailing Address - State:PA
Mailing Address - Zip Code:15360-1853
Mailing Address - Country:US
Mailing Address - Phone:724-945-6618
Mailing Address - Fax:
Practice Address - Street 1:619 BROAD AVE
Practice Address - Street 2:
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-1510
Practice Address - Country:US
Practice Address - Phone:724-929-5445
Practice Address - Fax:724-929-5844
Is Sole Proprietor?:No
Enumeration Date:2007-02-25
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034173L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist