Provider Demographics
NPI:1679820153
Name:DANIELS, KAYLA E (PHARM D)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:E
Last Name:DANIELS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 TRINITY LN
Mailing Address - Street 2:
Mailing Address - City:OCEANA
Mailing Address - State:WV
Mailing Address - Zip Code:24870-2600
Mailing Address - Country:US
Mailing Address - Phone:304-682-8586
Mailing Address - Fax:304-682-4544
Practice Address - Street 1:26 TRINITY LN
Practice Address - Street 2:
Practice Address - City:OCEANA
Practice Address - State:WV
Practice Address - Zip Code:24870-2600
Practice Address - Country:US
Practice Address - Phone:304-682-6246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist