MEDICARE: DR. DOUGLAS CALVIN ANDERSON JR. PHARM.D., D.PH.

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	10855	OK

General Provider Information

NPI Number	:	1477554095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS CALVIN ANDERSON JR. PHARM.D., D.PH.

Provider Business Mailing Address
First Line	:	9702A 7TH ST
Second Line	:
City	:	OSCODA
State	:	MI
Zip	:	48750-1937
Country	:	US
Telephone Number	:	937-668-4579
Fax Number	:	815-425-7982

Provider Business Practice Location Address
First Line	:	OSCODA VA CLINIC
Second Line	:	5671 N SKEEL AVE
City	:	OSCODA TWP
State	:	MI
Zip	:	48750-1535
Country	:	US
Telephone Number	:	989-497-2500
Fax Number	:

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	03/24/2025

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Directions to “ DR. DOUGLAS CALVIN ANDERSON JR. PHARM.D., D.PH.” Practice Location

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