Individual
MR. DOUGLAS S THEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5935 W IRLO BRONSON HWY, KISSIMMEE, FL 34746-4765
(407) 396-1006
Mailing address
14007 FLORIGOLD DR, WINDERMERE, FL 34786-7327
(407) 963-8741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS027068
FL
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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