Individual
DR. DANIEL SHANE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2161 E 42ND ST, ODESSA, TX 79762-5842
(432) 367-0738
Mailing address
4221 E 52ND ST APT 813, ODESSA, TX 79762-4835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50119
TX
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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