Individual
MR. DOUGLAS NEIL KASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
201 5TH ST S, #10, SAINT PETERSBURG, FL 33701-4162
(516) 706-9234
Mailing address
201 5TH ST S, #10, SAINT PETERSBURG, FL 33701-4162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28503
FL
Other
Enumeration date
10/10/2011
Last updated
04/28/2012
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