Terry R Daniels

NPI #1023148632 in Warren, Indiana

Provider Information

NPI Number: 1023148632
Entity Type: Organization
Organization Name: Terry R Daniels
Primary Specialty: Pharmacy
Enumeration Date: Mar 6, 2007
Last Updated: Jan 5, 2009

Practice Location

Address: 222 N WAYNE ST
City: Warren
State: Indiana
ZIP Code: 46792-0345
Phone: (260) 375-2135

Authorized Official

Name: DR. TERRY R DANIELS, PD MDIV
Title: OWNER PHARMACIST SECRETARY JANITOR
Phone: (260) 375-2135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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