Provider Demographics
NPI:1982040481
Name:CORNETT, DANIEL NEAL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NEAL
Last Name:CORNETT
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 1:5033 KING RICHARD CT
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-6917
Mailing Address - Country:US
Mailing Address - Phone:859-979-5865
Mailing Address - Fax:
Practice Address - Street 1:5033 KING RICHARD CT
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-6917
Practice Address - Country:US
Practice Address - Phone:859-979-5865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-11
Last Update Date:2013-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0154031835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist