Provider Demographics
NPI:1134340375
Name:DANIELS, ELIZABETH N (RPH)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:N
Last Name:DANIELS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6709 CRISTINA CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-5414
Mailing Address - Country:US
Mailing Address - Phone:704-367-0378
Mailing Address - Fax:
Practice Address - Street 1:6709 CRISTINA CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-5414
Practice Address - Country:US
Practice Address - Phone:704-367-0378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist