Provider Demographics
NPI:1295338002
Name:DANIEL, WHITNEY BROOKE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:BROOKE
Last Name:DANIEL
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 1:3520 KNICKERBOCKER RD STE A
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-7601
Mailing Address - Country:US
Mailing Address - Phone:325-949-4577
Mailing Address - Fax:
Practice Address - Street 1:3520 KNICKERBOCKER RD STE A
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-7601
Practice Address - Country:US
Practice Address - Phone:325-949-4577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57140183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist