DANIEL ROBERT KUBISIAK

JOHNSON CITY, TN
NPI1790729978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TN  4523)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
Mr. DANIEL ROBERT KUBISIAK D.PH
CORNER OF SIDNEY AND LAMONT STREET JAMES H. QUILLEN VAMC
JOHNSON CITY, TN 37604
Phone number: 423-926-1171
Mailing Address
Mr. DANIEL ROBERT KUBISIAK D.PH
P.O. BOX 4000 JAMES H QULLEN VAMC CORNER OF LAMONT AND SIDNEY
MOUNTAIN HOME, TN 37684-3412
Phone number: 423-926-1171