Walter Joseph Douglass

NPI #1205423738 in Durham, Connecticut

Provider Information

NPI Number: 1205423738
Entity Type: Individual
Name: Walter Joseph Douglass
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 30, 2020
Last Updated: Dec 30, 2020

Practice Location

Address: 221 MAIN STREET
City: Durham
State: Connecticut
ZIP Code: 06422-1614
Phone: (860) 349-3478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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