Healthcare Provider Details

I. General information

NPI: 1720174402
Provider Name (Legal Business Name): DANIEL HULING PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E CENTRAL AVE
JAMESTOWN TN
38556-4105
US

IV. Provider business mailing address

1165 ALLARDT-TINCH RD
ALLARDT TN
38504
US

V. Phone/Fax

Practice location:
  • Phone: 931-879-4884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0000022518
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: