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NPI Code Detail

MEDICARE: DANIEL DAIGLE

MEDICARE: DANIEL DAIGLE
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
1183500000XPharmacist2007023350MO
2183500000XPharmacistPST.025576LA

General Provider Information

NPI Number : 1285916171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DAIGLE
Provider Business Mailing Address
First Line : 1125 N PINE ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-2819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1125 N PINE ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-2819
Country : US
Telephone Number : 374-625-7943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 12/24/2024

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Directions to “ DANIEL DAIGLE ” Practice Location

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