Provider Demographics
NPI:1932205648
Name:POMAJZL, DANIEL ALVIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALVIN
Last Name:POMAJZL
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 1:1348 FAIRLANE AVE
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-1366
Mailing Address - Country:US
Mailing Address - Phone:402-641-2481
Mailing Address - Fax:
Practice Address - Street 1:1519 W HIGHWAY 34 STE 1
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-2338
Practice Address - Country:US
Practice Address - Phone:402-643-2918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist