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NPI Code Detail

MEDICARE: DR. DUC DO PHARMD

MEDICARE:  DR. DUC  DO  PHARMD
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
1183500000XPharmacistRP448990PA

General Provider Information

NPI Number : 1417334905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUC DO PHARMD
Provider Business Mailing Address
First Line : 6824 EASTWOOD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-1003
Country : US
Telephone Number : 215-236-4859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 05/04/2015

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Directions to “ DR. DUC DO PHARMD” Practice Location

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