Provider Demographics
NPI:1376559088
Name:FLORS, DANIEL T (RPH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:T
Last Name:FLORS
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 1:154 SUNDOWN COVE DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9188
Mailing Address - Country:US
Mailing Address - Phone:704-660-7628
Mailing Address - Fax:704-489-0293
Practice Address - Street 1:7409 WEBBS RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7422
Practice Address - Country:US
Practice Address - Phone:704-483-7204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-19056183500000X
NC19513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist