Individual
DANIEL M MACNIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
578 AVIATION RD, TARGET PHARMACY, QUEENSBURY, NY 12804
(518) 792-7583
Mailing address
29 BARBARA MAC D DR, CORINTH, NY 12822-1440
(518) 654-9656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049844
NY
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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