Individual
MR. LARRY A MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7769 HIGHWAY 66, NEWBURGH, IN 47630
(812) 853-5339
Mailing address
6655 WESTLAKE RD, NEWBURGH, IN 47630-2029
(812) 853-8482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013146A
IN
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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