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Individual

MR. DANIEL JAY EVERETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1027 SW RYAN CT, PULLMAN, WA 99163-2076
(509) 334-4166
Mailing address
1027 SW RYAN CT, PULLMAN, WA 99163-2076
(509) 334-4166

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
P4975
ID
183500000X
Pharmacist
Primary
PH00017277
WA

Other

Enumeration date
08/13/2012
Last updated
08/13/2012
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