Individual
DR. BRETT DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
126 8TH AVE, NEW YORK, NY 10011-5108
(212) 807-8798
(212) 645-1429
Mailing address
126 8TH AVE, NEW YORK, NY 10011-5108
(212) 807-8798
(212) 645-1429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046727
NY
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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