Provider Demographics
NPI:1528228764
Name:MINOR, DARILYN NIYA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DARILYN
Middle Name:NIYA
Last Name:MINOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 MASSACHUSETTS AVE NW
Mailing Address - Street 2:#715
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4757
Mailing Address - Country:US
Mailing Address - Phone:202-363-4833
Mailing Address - Fax:
Practice Address - Street 1:1307 1/2 H STREET NE
Practice Address - Street 2:302
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002
Practice Address - Country:US
Practice Address - Phone:202-396-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17837183500000X
DCPH100000357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist