Shady Daniel, RPH Valid NPI
Individual provider · Pharmacist · Flower Mound, TX
- NPI
- 1568115194
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 71007 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-02-02
- Last updated
- 2023-05-06
Practice location
1001 Spinks Rd Ste 280
Flower Mound, TX 75028-4215
(214) 285-4096