Provider Demographics
NPI:1376702019
Name:DUNCAN, DAVID ANDREW (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ANDREW
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 ALPS RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-4093
Mailing Address - Country:US
Mailing Address - Phone:706-543-3553
Mailing Address - Fax:706-543-0484
Practice Address - Street 1:191 ALPS RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-4093
Practice Address - Country:US
Practice Address - Phone:706-543-3553
Practice Address - Fax:706-543-0484
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0204251835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARPH020425OtherPHARMACIST LICENSE