DR. Lysette Daniels, PHARMD. RPH

NPI #1639427990 in Smiths Grove, Kentucky

Provider Information

NPI Number: 1639427990
Entity Type: Individual
Name: DR. Lysette Daniels, PHARMD. RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD. RPH
Enumeration Date: Aug 16, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 110 BAILEY RD
City: Smiths Grove
State: Kentucky
ZIP Code: 42171-7292
Phone: (270) 780-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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