Individual
MR. SAMUEL EUGENE DANIEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1121 HWY 98/51, SUMMIT, MS 39666
(601) 465-0770
Mailing address
1121 HWY 98/51, SUMMIT, MS 39666
(601) 465-0770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-05667
MS
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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