Individual
DOUGLAS ALLAN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1860 WHITE OAK DR, DELAWARE, OH 43015-9271
(740) 938-4130
(740) 938-4131
Mailing address
1860 WHITE OAK DR, DELAWARE, OH 43015-9271
(740) 938-4130
(740) 938-4131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
011684
GA
183500000X
Pharmacist
Primary
03216365
OH
183500000X
Pharmacist
042581
NY
183500000X
Pharmacist
1487740
WI
183500000X
Pharmacist
19050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011684
PHARMACIST
GA
01
—
03216365
PHARMACIST
OH
01
—
042581
PHARMACIST
NY
01
—
1487740
PHARMACIST
WI
01
—
PS19050
PHARMACIST
FL
Enumeration date
03/27/2014
Last updated
03/27/2014
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