Provider Demographics
NPI:1437708534
Name:DABBS, DANIEL M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:DABBS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WEBSTER ST APT 2
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MS
Mailing Address - Zip Code:38967-2127
Mailing Address - Country:US
Mailing Address - Phone:601-692-6662
Mailing Address - Fax:
Practice Address - Street 1:116 WEBSTER ST APT 2
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MS
Practice Address - Zip Code:38967-2127
Practice Address - Country:US
Practice Address - Phone:601-692-6662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-16210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist