Individual
DOUGLASS DEGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13034 SHRINERS BLVD STE A, BILOXI, MS 39532-8250
(228) 392-5355
Mailing address
13034 SHRINERS BLVD STE A, BILOXI, MS 39532-8250
(228) 392-5355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IE-8630
MS
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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