Individual
MR. GARY DAVID MCDANIEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4245 HOLLAND RD, VIRGINIA BEACH, VA 23452-1904
(757) 474-2289
Mailing address
404 TRACK XING, CHESAPEAKE, VA 23320-3183
(757) 548-4247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007671
VA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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