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Individual

MR. DANIEL BRADFORD HARKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
10635 MACCORKLE AVE, KROGER PHARMACY 754, MARMET, WV 25315
(304) 949-3045
Mailing address
1597 JACKSON ST, CHARLESTON, WV 25311-2034
(304) 400-4044

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00003905
WV

Other

Enumeration date
12/03/2010
Last updated
12/23/2010
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