Provider Demographics
NPI:1366798043
Name:LOMMER, DANIEL (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:LOMMER
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 1:687 MIAMISBURG CENTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459
Mailing Address - Country:US
Mailing Address - Phone:513-616-9590
Mailing Address - Fax:937-224-5311
Practice Address - Street 1:687 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-6519
Practice Address - Country:US
Practice Address - Phone:513-616-9590
Practice Address - Fax:937-224-5311
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03324003183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist