Individual
DR. DONNA A TAVAKKOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1811 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4659
(704) 844-6822
Mailing address
210 N CHURCH ST, # 1609, CHARLOTTE, NC 28202-2256
(954) 701-5895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19046
NC
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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