Provider Demographics
NPI:1356988323
Name:PRICE, DANIEL REESE (PHARM D)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:REESE
Last Name:PRICE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6138
Mailing Address - Country:US
Mailing Address - Phone:501-318-2152
Mailing Address - Fax:501-624-4842
Practice Address - Street 1:3341 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS NATIONAL PARK
Practice Address - State:AR
Practice Address - Zip Code:71913-6138
Practice Address - Country:US
Practice Address - Phone:501-318-2152
Practice Address - Fax:501-624-4842
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11986183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist