Healthcare Provider Details

I. General information

NPI: 1316915937
Provider Name (Legal Business Name): DAO PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 10/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 S MORTON AVE
MORTON PA
19070-1734
US

IV. Provider business mailing address

35 S MORTON AVE
MORTON PA
19070-1734
US

V. Phone/Fax

Practice location:
  • Phone: 610-543-1858
  • Fax: 610-543-1862
Mailing address:
  • Phone: 610-543-1858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481513
License Number StatePA

VIII. Authorized Official

Name: LOC DAO
Title or Position: PRESIDENT
Credential:
Phone: 610-543-1858