Individual
DR. DANIELLE LONG MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1600 N MAIN ST, TARBORO, NC 27886-2522
(252) 824-7740
Mailing address
2246 MORNING MIST CT, NASHVILLE, NC 27856-9713
(252) 532-0298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22655
NC
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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