MEDICARE: DOUGLAS PAUL

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	E-09124	MS

General Provider Information

NPI Number	:	1407790330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS PAUL

Provider Business Mailing Address
First Line	:	1202 WOOD DUCK CV
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-7346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 WOOD DUCK CV
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-7346
Country	:	US
Telephone Number	:	662-202-6619
Fax Number	:

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

Similar Medicare Providers

1487367462 — HILL MENTAL HEALTH SERVICES, LLC
Practice Location Address:

277 HIGHWAY 7 S
OXFORD, MS
38655-8139

Practice Phone: 662-404-1000
Practice Fax:

1205549284 — COLLIN GLENN HILL LCSW
Practice Location Address:

277 HIGHWAY 7 S
OXFORD, MS
38655-8139

Practice Phone: 662-404-1000
Practice Fax:

1326984139 — MANAV KAMLESHKUMAR PATEL
Practice Location Address:

1100 BELK BOULEVARD
OXFORD, MS
38655-5242

Practice Phone: 662-636-1000
Practice Fax:

1326793654 — DAVIS ABRAHAM LPC
Practice Location Address:

304 ENTERPRISE DR STE A
OXFORD, MS
38655-2762

Practice Phone: 662-638-3026
Practice Fax:

1922397413 — JESSICA SIMONE BUTLER DAIGLE M.D.
Practice Location Address:

1100 BELK BLVD
OXFORD, MS
38655-5242

Practice Phone: 662-636-1000
Practice Fax:

1528902640 — BREANNA GAYLE SANDERS PCPSS
Practice Location Address:

152 HIGHWAY 7 S
OXFORD, MS
38655-5392

Practice Phone: 662-236-3071
Practice Fax:

Directions to “ DOUGLAS PAUL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.