Individual
AUSTIN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 28TH ST, BELLAIRE, OH 43906-1790
(740) 671-5169
Mailing address
400 28TH ST, BELLAIRE, OH 43906-1790
(740) 671-5169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013193
WV
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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