Individual
MR. DOUGLAS MELVIN ODEGAARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
331 SIJAN AVE, 509 MDOS CC, WHITEMAN AFB, MO 65305-1269
(660) 687-1194
Mailing address
730 LINDBERGH ST, WHITEMAN AFB, MO 65305-1134
(727) 433-2472
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS38291
FL
Other
Enumeration date
07/19/2006
Last updated
10/28/2016
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