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NPI Code Detail

MEDICARE: DR. ALLEN DAI PHARMD

MEDICARE: DR. ALLEN DAI 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
1183500000XPharmacist72250CA

General Provider Information

NPI Number : 1124408513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLEN DAI PHARMD
Provider Business Mailing Address
First Line : 6265 BANCROFT WAY
Second Line :
City : SAN JOSE
State : CA
Zip : 95129-4003
Country : US
Telephone Number : 408-806-9967
Fax Number :
Provider Business Practice Location Address
First Line : 300 TRAVIS BLVD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-3804
Country : US
Telephone Number : 707-422-3460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2015
Last Update Date : 06/01/2015

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Directions to “ DR. ALLEN DAI PHARMD” Practice Location

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