Most Relevant Information
Provider Data
| NPI Number: | 1003195629 |
| Provider Name: | THAO KIM DOAN PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 055951 |
Most Important Dates
| Enumeration Date: | 08/13/2011 |
| Last Updated: | 09/24/2020 |
Provider Practice Location
230 GRAND ST
SUITE A1-2
NEW YORK
NY
100134241
Practice Location Phone/Fax
| Phone: | 2122198998 |
| Fax: |
Provider Mailing Location
230 GRAND ST STE A1-2
NEW YORK
NY
100134241
Provider Mailing Phone/Fax
| Phone: | 2122198998 |
| Fax: |