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Individual

JANINE DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, BCPS

Contact information

Practice address
515 N MAIN STREET, WINGATE, NC 28174
(704) 233-8974
Mailing address
515 N MAIN STREET, WINGATE, NC 28174
(704) 233-8974

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
054306-1
NY
183500000X
Pharmacist
PS48569
FL
183500000X
Pharmacist
RPH.03230682-2
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PCT.0012249
CT
1835P1200X
Pharmacotherapy Pharmacist
Primary
24793
NC

Other

Enumeration date
02/25/2010
Last updated
08/27/2015
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