Provider Demographics
NPI:1427022847
Name:DRIVER, DANIEL RAYMOND (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:RAYMOND
Last Name:DRIVER
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 1:10307 DICKENS AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2131
Mailing Address - Country:US
Mailing Address - Phone:301-530-8790
Mailing Address - Fax:301-564-9654
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:BUILDING 9, ROOM 0804, NUCLEAR MEDICINE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4985
Practice Address - Fax:301-295-2649
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD095521835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear