Douglas Wynn Staten, RPH

NPI #1487721890 in Daytona Beach Shores, Florida

Provider Information

NPI Number
1487721890
Entity Type
Individual
Name
Douglas Wynn Staten, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Nov 29, 2006
Last Updated
Nov 22, 2020

Practice Location

Address
3422 S ATLANTIC AVE
State
Florida
ZIP Code
32118-6349
Phone
(386) 756-0481

Specialties & Taxonomy Codes

Specialty
Pharmacist

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