Provider Demographics
NPI:1679187678
Name:STARNES, DANIEL RAY (RPH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:RAY
Last Name:STARNES
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 1:325 ROLLING OAKS DR STE 140A
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1201
Mailing Address - Country:US
Mailing Address - Phone:805-557-1006
Mailing Address - Fax:805-557-1706
Practice Address - Street 1:325 ROLLING OAKS DR STE 140A
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1201
Practice Address - Country:US
Practice Address - Phone:805-557-1006
Practice Address - Fax:805-557-1706
Is Sole Proprietor?:No
Enumeration Date:2020-09-07
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist