MEDICARE: DAO CHI N 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
1	183500000X	Pharmacist	RPH022190	GA

General Provider Information

NPI Number	:	1548864473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAO CHI N DO PHARMD

Provider Business Mailing Address
First Line	:	2650 CRUSE RD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-2658
Country	:	US
Telephone Number	:	770-921-8514
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 CRUSE RD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-2658
Country	:	US
Telephone Number	:	770-921-8514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2020
Last Update Date	:	11/22/2020

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Directions to “ DAO CHI N DO PHARMD” Practice Location

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