Individual
COLIN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 W 25TH ST, NEW YORK, NY 10001-7243
(212) 675-3900
Mailing address
245 E 63RD ST APT 321, NEW YORK, NY 10065-7421
(860) 328-0401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063691
NY
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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