Provider Demographics
NPI:1841368602
Name:DAUDA, TAMBA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMBA
Middle Name:
Last Name:DAUDA
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 1:3700 MACON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-2248
Mailing Address - Country:US
Mailing Address - Phone:816-665-5302
Mailing Address - Fax:
Practice Address - Street 1:3700 MACON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-2248
Practice Address - Country:US
Practice Address - Phone:706-568-6878
Practice Address - Fax:706-568-6639
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2022-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA023993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist