Individual
DR. DAMON DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1070 MORRIS AVE, SUITE 1348, UNION, NJ 07083-7154
(410) 317-7463
Mailing address
1070 MORRIS AVE, SUITE 1348, UNION, NJ 07083-7154
(410) 317-7463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60421633
WA
Other
Enumeration date
07/10/2011
Last updated
09/24/2015
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