Daniel Robert Kubisiak, D.PH
Pharmacist in Johnson City, TN. Individual provider (NPI-1).
NPI number1790729978
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790729978
- Entity type
- Individual (NPI-1)
- Name
- Mr. Daniel Robert Kubisiak
- Credential
- D.PH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 4523 | TN | Yes |
Practice location
Corner Of Sidney And Lamont StreetJames H. Quillen Vamc
Johnson City, TN 37604
Phone 423-926-1171
Mailing address
P.O. Box 4000 James H Qullen VamcCorner Of Lamont And Sidney
Mountain Home, TN 37684-3412
Phone 423-926-1171
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All 232 Pharmacist providers in Johnson City · All 4,629 providers in Johnson City
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