MEDICARE: MRS. JACLYN PIEPER DANIEL PHARM. D

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
1	183500000X	Pharmacist	RPH023789	GA

General Provider Information

NPI Number	:	1164621231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JACLYN PIEPER DANIEL PHARM. D

Provider Business Mailing Address
First Line	:	1315 DAWSON RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3853
Country	:	US
Telephone Number	:	229-436-1517
Fax Number	:	229-439-8343

Provider Business Practice Location Address
First Line	:	1315 DAWSON RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3853
Country	:	US
Telephone Number	:	229-436-1517
Fax Number	:	229-439-8343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	07/17/2007

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Directions to “ MRS. JACLYN PIEPER DANIEL PHARM. D” Practice Location

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