Individual
DR. DUSTIN T DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
19 MEDICAL LOOP STE 2, WHITLEY CITY, KY 42653-4382
(606) 376-5043
(606) 376-5466
Mailing address
458 ASHLEY LN, ONEIDA, TN 37841-6060
(423) 286-7825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0036725
TN
183500000X
Pharmacist
Primary
016194
KY
183500000X
Pharmacist
36725
TN
Other
Enumeration date
02/14/2006
Last updated
09/21/2024
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