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NPI Code Detail

MEDICARE: MR. TERRY ALLEN DAANE R.PH

MEDICARE:  MR. TERRY ALLEN DAANE  R.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist7345AZ

General Provider Information

NPI Number : 1184640443
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TERRY ALLEN DAANE R.PH
Provider Business Mailing Address
First Line : 500 S 99TH AVE
Second Line :
City : TOLLESON
State : AZ
Zip : 85353-9700
Country : US
Telephone Number : 602-818-5260
Fax Number :
Provider Business Practice Location Address
First Line : 500 S 99TH AVE
Second Line :
City : TOLLESON
State : AZ
Zip : 85353-9700
Country : US
Telephone Number : 602-818-5260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 11/11/2009

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Directions to “ MR. TERRY ALLEN DAANE R.PH” Practice Location

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