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Individual

DAVID JOHN DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
357 CORNELIA ST, PLATTSBURGH, NY 12901-2211
(518) 561-2100
Mailing address
357 CORNELIA ST, PLATTSBURGH, NY 12901-2211
(518) 561-2100

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030125
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00483674
NY
Enumeration date
10/31/2007
Last updated
10/31/2007
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