Healthcare Provider Details

I. General information

NPI: 1306457973
Provider Name (Legal Business Name): DIANA DAO PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2020
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3007 OCEAN HEIGHTS AVE
EGG HARBOR TOWNSHIP NJ
08234-7749
US

IV. Provider business mailing address

3007 OCEAN HEIGHTS AVE
EGG HARBOR TOWNSHIP NJ
08234-7749
US

V. Phone/Fax

Practice location:
  • Phone: 800-927-0390
  • Fax: 800-927-0392
Mailing address:
  • Phone: 800-927-0390
  • Fax: 800-927-0392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP454447P
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03884600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: