Provider Demographics
NPI:1609946516
Name:BOND, DANIEL NATHAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NATHAN
Last Name:BOND
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 1:1202 16TH ST
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:WV
Mailing Address - Zip Code:26105-1046
Mailing Address - Country:US
Mailing Address - Phone:304-295-7356
Mailing Address - Fax:304-863-8813
Practice Address - Street 1:800 GRAND CENTRAL MALL STE 5
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:WV
Practice Address - Zip Code:26105-4100
Practice Address - Country:US
Practice Address - Phone:304-295-7356
Practice Address - Fax:304-865-0231
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-25984183500000X
WVRP0006573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist