MR. Michael Newman Douglas, RPH

NPI #1790897825 in Mount Vernon, Missouri

Provider Information

NPI Number: 1790897825
Entity Type: Individual
Name: MR. Michael Newman Douglas, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 N MAIN ST
City: Mount Vernon
State: Missouri
ZIP Code: 65712-1004
Phone: (417) 466-0172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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