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Individual

DANIEL DANIELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 BOLSTAD AVE E, LONG BEACH, WA 98631-9201
(360) 642-3200
Mailing address
PO BOX B, ILWACO, WA 98624-0167

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00020774
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00020774
WA

Other

Enumeration date
03/12/2026
Last updated
03/12/2026
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