Individual
MR. DOUGLAS DAVID DECAROLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 VETERANS DR, PHARMACY (119), MINNEAPOLIS, MN 55417-2309
(612) 725-2040
Mailing address
9376 BIRCH LN, LAKEVILLE, MN 55044-8157
(952) 461-5580
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
113753
MN
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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