Individual provider · NPI-1

Daniel Alton Fraley, CPhT

Pharmacy Technician · Cockeysville, MD

NPI number1740670579
StatusActive
Last updated in NPPESFeb 2, 2015

Details

NPI
1740670579
Entity type
Individual (NPI-1)
Name
Daniel Alton Fraley
Credential
CPhT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 2, 2015
Last updated
Feb 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy TechnicianT15104MDYes

Practice location

9901 York Rd
Cockeysville, MD 21030-3407

Phone 410-683-6517

Mailing address

13217 Old Hanover Rd
Reisterstown, MD 21136-4725

Phone 410-905-2077

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