Provider Demographics
NPI:1235843640
Name:BYERS, DANIEL AARON
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:AARON
Last Name:BYERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W CRAIG ST
Mailing Address - Street 2:
Mailing Address - City:CRAIGSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24430-2227
Mailing Address - Country:US
Mailing Address - Phone:540-889-2072
Mailing Address - Fax:540-997-5113
Practice Address - Street 1:125 W CRAIG ST
Practice Address - Street 2:
Practice Address - City:CRAIGSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24430-2227
Practice Address - Country:US
Practice Address - Phone:540-889-2072
Practice Address - Fax:540-997-5113
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230037761183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician