Individual
MR. DANIEL THOMAS PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13992 MANCHESTER RD, BALLWIN, MO 63011-4517
(636) 227-9228
Mailing address
13992 MANCHESTER RD, BALLWIN, MO 63011-4517
(636) 227-9228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041263
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041263
MISSOURI BOARD OF PHARMACY PHARMACIST
MO
Enumeration date
10/15/2011
Last updated
10/15/2011
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