Leslie Shane Daniel RPH

NPI 1114251741 - Pharmacist - 183500000X

NPI Details
NPI 1114251741
Gender Male
Enumeration Date 09/30/2009
Last Updated 09/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
431 FULTON ST
FORT WORTH TX, 76104-2214, US
Phone (817) 336-0754
Fax
Business Location
431 FULTON ST
FORT WORTH TX, 76104-2214, US
Phone (817) 336-0754
Fax
Toxanomy
Taxonomy Code 183500000X
License State Texas
License Number 34758
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According to our database, Mr. Leslie Shane Daniel RPH NPI is 1114251741, taxonomy code is 183500000X and license number is 34758, license state is located at Texas. Leslie Shane Daniel RPH physically located at 431 Fulton St, Fort Worth TX, 76104-2214. NPI Number Leslie Shane Daniel RPH has the Individual type.

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1114251741 NPI number is provided on an as is basis without warranty of any kind. 1114251741 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Shane Daniel RPH are for informational purposes only.