MR. Larry A Mcdaniel

NPI #1619244365 in Newburgh, Indiana

Provider Information

NPI Number: 1619244365
Entity Type: Individual
Name: MR. Larry A Mcdaniel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 23, 2011
Last Updated: Nov 23, 2011

Practice Location

Address: 7769 HIGHWAY 66
City: Newburgh
State: Indiana
ZIP Code: 47630
Phone: (812) 853-5339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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