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NPI Code Detail

MEDICARE: JANICE ELIZABETH DOAK RPH

MEDICARE: JANICE ELIZABETH DOAK RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03-1-14723OH

General Provider Information

NPI Number : 1306131289
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE ELIZABETH DOAK RPH
Provider Business Mailing Address
First Line : 4341 FEEDWIRE RD
Second Line : T-1940
City : DAYTON
State : OH
Zip : 45440-3970
Country : US
Telephone Number : 937-439-9357
Fax Number : 937-439-9357
Provider Business Practice Location Address
First Line : 4341 FEEDWIRE RD
Second Line : T-1940
City : DAYTON
State : OH
Zip : 45440-3970
Country : US
Telephone Number : 937-439-9357
Fax Number : 937-439-9357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2011
Last Update Date : 06/18/2011

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