Provider Demographics
NPI:1891383410
Name:DAO, JONATHAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:DAO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 S MORTON AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:PA
Mailing Address - Zip Code:19070-1799
Mailing Address - Country:US
Mailing Address - Phone:610-543-1858
Mailing Address - Fax:
Practice Address - Street 1:35 S MORTON AVE
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:PA
Practice Address - Zip Code:19070-1799
Practice Address - Country:US
Practice Address - Phone:610-543-1858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist