Healthcare Provider Details

I. General information

NPI: 1508601246
Provider Name (Legal Business Name): DAVID DAKWA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

3153 FINCH LN
WEST SACRAMENTO CA
95691-6434
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-1426
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number82271
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: