Individual
ANGELA MARIE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4040 N NEWTON ST, JASPER, IN 47546-2575
(812) 634-1777
(812) 634-9810
Mailing address
4040 N NEWTON ST, JASPER, IN 47546-2575
(812) 634-1777
(812) 634-9810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016735A
IN
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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