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Individual

TIA EDDY DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
3971 BRAMBLETON AVE, ROANOKE, VA 24018-6402
(540) 725-3808
(540) 725-3812
Mailing address
3971 BRAMBLETON AVE, ROANOKE, VA 24018-6402
(540) 725-3808
(540) 725-3812

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0202206273
VA

Other

Enumeration date
11/29/2010
Last updated
01/30/2020
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