Jan Douglass
NPI #1174659585 in Georgetown, Texas
Provider Information
- NPI Number
- 1174659585
- Entity Type
- Organization
- Organization Name
- Jan Douglass
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 505 W UNIVERSITY AVE
- Address 2
- SUITE H
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-6643
- Phone
- (512) 863-2297
Authorized Official
- Name
- DENA FERMAN
- Title
- THIRD PARTY PLAN COORDINATOR
- Phone
- (314) 993-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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