Organization
DOUGLAS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY IVAN SHUMAKER RPH (OWNER / PHARMACIST)
(520) 364-2315
Entity
Organization
Contact information
Practice address
94 W 5TH ST, DOUGLAS, AZ 85607-2851
(520) 364-2315
(520) 364-2318
Mailing address
94 W 5TH ST, DOUGLAS, AZ 85607-2851
(520) 364-2315
(520) 364-2318
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y004878
AZ
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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