Provider Demographics
NPI:1124304951
Name:DUNCAN, DAVID STEVEN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:STEVEN
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19755 VISTA HERMOSA DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-1734
Mailing Address - Country:US
Mailing Address - Phone:831-869-0705
Mailing Address - Fax:909-881-6694
Practice Address - Street 1:19755 VISTA HERMOSA DR
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-1734
Practice Address - Country:US
Practice Address - Phone:909-881-1813
Practice Address - Fax:909-881-6694
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist