Individual
SUSAN MARY DANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
701 KEYSTONE AVE, RENO, NV 89503-4103
(775) 747-1628
Mailing address
3705 VISTA BLVD, SPARKS, NV 89436-6700
(815) 351-6414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051290128
IL
183500000X
Pharmacist
Primary
19313
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200926
NABP
—
Enumeration date
10/06/2016
Last updated
10/06/2016
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