Individual
DANIEL LEE COLLINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 523-3502
(304) 522-0891
Mailing address
411 15TH ST, KENOVA, WV 25530-1205
(606) 560-4145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011703
WV
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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