Individual
BOB DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6695
(509) 522-2349
Mailing address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6695
(509) 522-2349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00045289
WA
Other
Enumeration date
11/02/2010
Last updated
11/28/2017
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