Provider Demographics
NPI:1013918101
Name:DAFTARY, MONIKA NEIL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:NEIL
Last Name:DAFTARY
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 1:2300 4TH STREET, NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20059-0001
Mailing Address - Country:US
Mailing Address - Phone:202-806-4206
Mailing Address - Fax:202-806-4478
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:SUITE B ROOM 1-OP-64 (AMBULATORY CARE SUITE)
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-7802
Practice Address - Fax:202-865-7803
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH3063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist