Healthcare Provider Details

I. General information

NPI: 1356972152
Provider Name (Legal Business Name): PATRICIA LYNN DANIEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA LYNN DANIEL PHARMD

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 ROYAL DR
ALPHARETTA GA
30022-2475
US

IV. Provider business mailing address

3155 ROYAL DR
ALPHARETTA GA
30022-2475
US

V. Phone/Fax

Practice location:
  • Phone: 706-290-8043
  • Fax:
Mailing address:
  • Phone: 678-986-7596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH022185
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: