MEDICARE: MR. DANIEL ANTHONY NEWTON JR. 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
1	183500000X	Pharmacist	9050	AL

General Provider Information

NPI Number	:	1518331297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL ANTHONY NEWTON JR. R.PH.

Provider Business Mailing Address
First Line	:	4601 MONTGOMERY HWY STE 300T1468
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-1656
Country	:	US
Telephone Number	:	334-340-1113
Fax Number	:	334-340-1123

Provider Business Practice Location Address
First Line	:	4601 MONTGOMERY HWY STE 300T1468
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-1656
Country	:	US
Telephone Number	:	334-340-1113
Fax Number	:	334-340-1123

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

Provider Enumeration Date	:	11/18/2015
Last Update Date	:	11/18/2015

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Directions to “ MR. DANIEL ANTHONY NEWTON JR. R.PH.” Practice Location

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