Individual
MR. DONALD RAY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
103 GREENVILLE BLVD SE, GREENVILLE, NC 27858-5707
(252) 756-1611
(252) 756-1623
Mailing address
200 CAPTAINS CT, ELIZABETH CITY, NC 27909-6224
(252) 339-5240
(252) 756-1623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0745945
—
NC
Enumeration date
07/27/2012
Last updated
07/27/2012
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