Provider Demographics
NPI:1811990336
Name:DALY, DENISE E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:E
Last Name:DALY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 SHADY OAK CIR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-4274
Mailing Address - Country:US
Mailing Address - Phone:912-856-0270
Mailing Address - Fax:912-819-8338
Practice Address - Street 1:5353 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6015
Practice Address - Country:US
Practice Address - Phone:912-819-6046
Practice Address - Fax:912-819-8338
Is Sole Proprietor?:No
Enumeration Date:2005-05-30
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0199251835P1200X
TX387171835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy