Provider Demographics
NPI:1073920625
Name:BAILEY, DANNY BOYD (RPH)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:BOYD
Last Name:BAILEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9102 WINDWARD TRCE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-6045
Mailing Address - Country:US
Mailing Address - Phone:210-859-5297
Mailing Address - Fax:210-568-2865
Practice Address - Street 1:9102 WINDWARD TRCE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-6045
Practice Address - Country:US
Practice Address - Phone:210-859-5297
Practice Address - Fax:210-568-2865
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17019183500000X
NMRP00007522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist