Healthcare Provider Details

I. General information

NPI: 1538050737
Provider Name (Legal Business Name): TUAN DUC DAO PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 SPOUT SPRINGS RD
FLOWERY BRANCH GA
30542-6448
US

IV. Provider business mailing address

5751 CREST HILL DR
BUFORD GA
30518-4431
US

V. Phone/Fax

Practice location:
  • Phone: 770-967-1775
  • Fax:
Mailing address:
  • Phone: 678-557-7515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH035613
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: