Individual
DOUGLAS WAYNE DEURLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4750 E 450 S, WHITESTOWN, IN 46075-8404
(866) 496-3326
Mailing address
4750 E 450 S, WHITESTOWN, IN 46075-8404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024518A
IN
Other
Enumeration date
08/09/2019
Last updated
06/28/2023
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