Basic Information
Provider Information
NPI: 1346209988
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUFF
FirstName: DANNY
MiddleName: R.
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D,CGP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1970 ROANOKE BLVD
Address2: (119)
City: SALEM
State: VA
PostalCode: 241536404
CountryCode: US
TelephoneNumber: 5409822463
FaxNumber: 5402241970
Practice Location
Address1: 1970 ROANOKE BLVD
Address2: (119)
City: SALEM
State: VA
PostalCode: 241536404
CountryCode: US
TelephoneNumber: 5409822463
FaxNumber: 5402241970
Other Information
ProviderEnumerationDate: 03/22/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P1200X0202010061VAY Pharmacy Service ProvidersPharmacistPharmacotherapy

No ID Information.


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