Healthcare Provider Details

I. General information

NPI: 1447069570
Provider Name (Legal Business Name): DANNY CAO PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 09/01/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WOODLAND RD
SAINT HELENA CA
94574-9554
US

IV. Provider business mailing address

8047 VILLA TROVAS CT
LAS VEGAS NV
89113-1768
US

V. Phone/Fax

Practice location:
  • Phone: 707-963-3611
  • Fax:
Mailing address:
  • Phone: 504-352-7117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.023950
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: