Individual
DAN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2944
Mailing address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH 26118
CA
1835G0303X
Geriatric Pharmacist
RPH 26118
CA
1835P1300X
Psychiatric Pharmacist
Primary
RPH 26118
CA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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