Provider Demographics
NPI:1912287442
Name:CHERRY, DANIEL KANE (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:KANE
Last Name:CHERRY
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 1:7200 CARDINAL PL W
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1094
Mailing Address - Country:US
Mailing Address - Phone:614-761-1251
Mailing Address - Fax:614-761-1643
Practice Address - Street 1:7200 CARDINAL PL W
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1094
Practice Address - Country:US
Practice Address - Phone:614-761-1251
Practice Address - Fax:614-761-1643
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03124728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist