MEDICARE: DR. DOUGLAS BRAUN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS37168	FL

General Provider Information

NPI Number	:	1891089009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS BRAUN PHARMD

Provider Business Mailing Address
First Line	:	6114 MANCHESTER PL
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-2410
Country	:	US
Telephone Number	:	239-273-8821
Fax Number	:	239-288-0482

Provider Business Practice Location Address
First Line	:	6114 MANCHESTER PL
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-2410
Country	:	US
Telephone Number	:	239-273-8821
Fax Number	:	239-288-0482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2011
Last Update Date	:	01/11/2018

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