Individual
CHARLIE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1024 SOUTH STATE ROAD 19, PHARMACY, PALATKA, FL 32177
(386) 328-2786
Mailing address
1024 SOUTH STATE ROAD 19, PHARMACY, PALATKA, FL 32177
(386) 328-2786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS54955
FL
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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