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NPI Code Detail

MEDICARE: DANIEL WADE STRATTON PHARMD

MEDICARE: DANIEL WADE STRATTON 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
1183500000XPharmacist06629NV

General Provider Information

NPI Number : 1871887158
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL WADE STRATTON PHARMD
Provider Business Mailing Address
First Line : 229 SHADOW MOUNTAIN RD
Second Line :
City : GARDNERVILLE
State : NV
Zip : 89460-9711
Country : US
Telephone Number : 775-265-5277
Fax Number :
Provider Business Practice Location Address
First Line : 1329 US HIGHWAY 395 N
Second Line :
City : GARDNERVILLE
State : NV
Zip : 89410-5391
Country : US
Telephone Number : 775-782-7042
Fax Number : 775-782-8479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2011
Last Update Date : 06/04/2011

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