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Individual
EDWARD R DOUGLAS
Active
Individual
EDWARD R DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5809
SC
1835P1200X
Pharmacotherapy Pharmacist
5809
SC
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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