Provider Demographics
NPI:1831506468
Name:KILMER, DANIELLE CATHERINE (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CATHERINE
Last Name:KILMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:CATHERINE
Other - Last Name:TREBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8290 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2820
Mailing Address - Country:US
Mailing Address - Phone:716-639-1945
Mailing Address - Fax:
Practice Address - Street 1:8290 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2820
Practice Address - Country:US
Practice Address - Phone:716-639-1945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059350183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist