Provider Demographics
NPI:1518331297
Name:NEWTON, DANIEL ANTHONY JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ANTHONY
Last Name:NEWTON
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:4601 MONTGOMERY HWY STE 300T1468
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-1656
Mailing Address - Country:US
Mailing Address - Phone:334-340-1113
Mailing Address - Fax:334-340-1123
Practice Address - Street 1:4601 MONTGOMERY HWY STE 300T1468
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-1656
Practice Address - Country:US
Practice Address - Phone:334-340-1113
Practice Address - Fax:334-340-1123
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL9050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist