MEDICARE: DR. DANIEL JAMES SALEHI PHARMD

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	0202208575	VA

General Provider Information

NPI Number	:	1780967331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL JAMES SALEHI PHARMD

Provider Business Mailing Address
First Line	:	9976 JEFFERSON AVE
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23605-1057
Country	:	US
Telephone Number	:	757-599-9626
Fax Number	:

Provider Business Practice Location Address
First Line	:	9976 JEFFERSON AVE
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23605-1057
Country	:	US
Telephone Number	:	757-599-9626
Fax Number	:

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

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	09/20/2011

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