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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Organizations
| Provider Name | |
|---|---|
| Mi Havana Pharmacy & Discount |
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