MEDICARE: DR. MONIKA NEIL DAFTARY PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH3063	DC

General Provider Information

NPI Number	:	1013918101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONIKA NEIL DAFTARY PHARMD

Provider Business Mailing Address
First Line	:	2300 4TH STREET, NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20059-0001
Country	:	US
Telephone Number	:	202-806-4206
Fax Number	:	202-806-4478

Provider Business Practice Location Address
First Line	:	2041 GEORGIA AVE NW
Second Line	:	SUITE B ROOM 1-OP-64 (AMBULATORY CARE SUITE)
City	:	WASHINGTON
State	:	DC
Zip	:	20060-0001
Country	:	US
Telephone Number	:	202-865-7802
Fax Number	:	202-865-7803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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