Doctor Name: | DR. ALLEN RAYMOND DOAN |
NPI Number: | 1104260140 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | 5302033248 |
Business Practice Address: | 2296 Us 41 S Marquette, MI - 498559119 |
Business Phone Number: | 9062731306 |
Business Fax Number: | 9062731307 |
Mailing Address: | 2296 Us 41 S, MARQUETTE |
State: | MI |
Postal Code: | 498559119 |
Phone Number: | 9062731306 |
Fax Number: | 9062731307 |
NPI Enumeration Date: | 04/22/2013 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835N0905X |
License Number: | 5302033248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Nuclear |
Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |