Individual
DANIEL MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3634 REYNOLDA RD, WINSTON SALEM, NC 27106-2230
(336) 923-2367
Mailing address
2199 BENWICKE DR, PFAFFTOWN, NC 27040-9214
(336) 407-5912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9715
NC
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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