MEDICARE: DR. DAN AU 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	PH60845615	WA

General Provider Information

NPI Number	:	1942780796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN AU PHARMD

Provider Business Mailing Address
First Line	:	5017 176TH ST SW APT B
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98037-9238
Country	:	US
Telephone Number	:	425-903-7639
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 172ND ST NE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8482
Country	:	US
Telephone Number	:	360-386-4615
Fax Number	:

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

Provider Enumeration Date	:	08/20/2018
Last Update Date	:	08/20/2018

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Directions to “ DR. DAN AU PHARMD” Practice Location

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