Individual
MATTHEW DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12134 S DIXIE HWY, SONORA, KY 42776-9739
(270) 949-3494
(270) 949-3494
Mailing address
12134 S DIXIE HWY, SONORA, KY 42776-9739
(270) 949-3494
(270) 949-3494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011545
KY
Other
Enumeration date
02/18/2012
Last updated
11/12/2021
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