David M Cao

Individual provider Active NPI Pharmacist · Desert Hot Springs, CA

NPI 1194239228 · NPPES record last updated Nov 28, 2017

Key facts

NPI
1194239228
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
77876 (CA)
Practice address
12900 Palm Dr
Desert Hot Springs, CA 92240-4567
Phone
(760) 251-3866
NPI assigned
Nov 28, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
77876CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77876 CA Yes

Addresses

Primary practice location

12900 Palm Dr
Desert Hot Springs, CA 92240-4567

Mailing address

1 Brookside Ave
Worcester, MA 01602-1609
Phone (508) 335-1127

Other providers in Desert Hot Springs, CA

All providers in Desert Hot Springs, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.