Individual
DANIEL LEE SIDWELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
109 WEST ST, CALDWELL, OH 43724-1359
(740) 732-4503
(740) 732-2272
Mailing address
19626 HARL WEILLER RD, CALDWELL, OH 43724-9149
(740) 783-1187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-28021
OH
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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