Individual
LUCIUS DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5506
(248) 338-5278
Mailing address
50 N. PERRY STREET, PONTIAC, MI 48342
(248) 338-5506
(248) 338-5278
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302028058
MI
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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