Individual
MR. MICHAEL NEWMAN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-0172
(417) 466-0196
Mailing address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-0172
(417) 466-0196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042494
MO
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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