Provider Demographics
NPI:1871875781
Name:CHEW, DANIELLE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:CHEW
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-4915
Mailing Address - Country:US
Mailing Address - Phone:765-521-7124
Mailing Address - Fax:765-521-0189
Practice Address - Street 1:100 N MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-4915
Practice Address - Country:US
Practice Address - Phone:765-521-7124
Practice Address - Fax:765-521-0189
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26022158A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist