Individual
DR. DAVID T DIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
6107 CLIFFSIDE TRL, COLUMBIA, MD 21045-7422
(107) 360-9904
Mailing address
6107 CLIFFSIDE TRL, COLUMBIA, MD 21045-7422
(410) 290-0125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302031445
MI
1835P1200X
Pharmacotherapy Pharmacist
Primary
14704
MD
Other
Enumeration date
04/23/2007
Last updated
04/03/2020
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