THOMAS MICHAEL DAUW RPH, MTM - NPI 1417411604 - Pharmacist in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Pharmacist with taxonomy code 1835P2201X and a focus in Ambulatory Care.

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About Thomas Michael Dauw Rph, Mtm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS MICHAEL DAUW RPH, MTM (NPI 1417411604) is an individual ambulatory care provider in Jacksonville, Florida, licensed in Florida (PS58827) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1417411604

Entity TypeIndividualMale

Primary Taxonomy1835P2201X

Provider Legal NameTHOMAS MICHAEL DAUWCredential: RPH, MTM

Location Address4500 SAN PABLO ROADJacksonville, FL 32224

Mailing Address4500 San Pablo RoadJacksonville, FL 32224 · (904) 953-2000 · Fax (904) 953-2274

Phone(904) 953-2475

Fax(904) 953-2274

Sole ProprietorNo

Enumeration DateJanuary 22, 2019

Last NPPES UpdateJanuary 28, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2021

✔ NPI 1417411604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers

Taxonomy Code1835P2201X

License✔ Licensed in FL · PS58827

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

Also ListedPharmacistTaxonomy 183500000X · License PS58827 (FL)

4500 SAN PABLO ROAD, Jacksonville, FL 32224

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