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Individual

DR. DANIEL LOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH, DVM

Contact information

Practice address
150 CLEVELAND RD, BOGART, GA 30622-1701
(706) 369-9591
Mailing address
150 CLEVELAND RD, BOGART, GA 30622-1701
(706) 369-9591

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10502
NC
183500000X
Pharmacist
2009023449
MO
183500000X
Pharmacist
RPH016265
GA

Other

Enumeration date
11/01/2012
Last updated
11/01/2012
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