Provider Demographics
NPI:1184754186
Name:FORRISTER, DANIEL K (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:K
Last Name:FORRISTER
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:UNIVERSITY OF GEORGIA
Mailing Address - Street 2:RC WILSON PHARMACY BLDG
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30602-2354
Mailing Address - Country:US
Mailing Address - Phone:706-542-5111
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF GEORGIA
Practice Address - Street 2:RC WILSON PHARMACY BLDG
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30602-2354
Practice Address - Country:US
Practice Address - Phone:706-542-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18225183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist