Individual
THOMAS MICHAEL DAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, MTM
Contact information
Practice address
4500 SAN PABLO ROAD, JACKSONVILLE, FL 32224
(904) 953-2475
(904) 953-2274
Mailing address
4500 SAN PABLO ROAD, JACKSONVILLE, FL 32224
(904) 953-2000
(904) 953-2274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS58827
FL
1835P2201X
Ambulatory Care Pharmacist
Primary
PS58827
FL
Other
Enumeration date
01/22/2019
Last updated
01/28/2021
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