Individual
NICHOLAS DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
N HWY 491, NNMC PHARMACY, SHIPROCK, NM 87420
(505) 368-7250
Mailing address
PO BOX 160, NNMC PHARMACY, SHIPROCK, NM 87420-0160
(505) 368-7250
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP00008164
NM
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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