Individual
MR. DANIEL LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
6551 LOISDALE CT, SUITE 900, SPRINGFIELD, VA 22150-1828
(703) 822-8228
Mailing address
60631 DESERT SHADOWS DR, LA QUINTA, CA 92253-7736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61076
CA
Other
Enumeration date
05/24/2011
Last updated
11/16/2016
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