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NPI Code Detail

MEDICARE: MIKE DOAN PHARMD

MEDICARE:   MIKE  DOAN  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
1183500000XPharmacist61798CA
21835P1200XPharmacotherapy Pharmacist61798CA

General Provider Information

NPI Number : 1205206976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKE DOAN PHARMD
Provider Business Mailing Address
First Line : 6939 LINDA VISTA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-6305
Country : US
Telephone Number : 858-277-6730
Fax Number :
Provider Business Practice Location Address
First Line : 6939 LINDA VISTA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-6305
Country : US
Telephone Number : 858-277-6730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2015
Last Update Date : 10/06/2015

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Directions to “ MIKE DOAN PHARMD” Practice Location

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