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NPI Code Detail

MEDICARE: DR. BARBARA L DOUGLAS RPH

MEDICARE: DR. BARBARA L DOUGLAS RPH
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
1183500000XPharmacist12834SC

General Provider Information

NPI Number : 1497174999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA L DOUGLAS RPH
Provider Business Mailing Address
First Line : 3951 W ASHLEY CIR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-9156
Country : US
Telephone Number : 843-763-2006
Fax Number :
Provider Business Practice Location Address
First Line : 3951 W ASHLEY CIR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-9156
Country : US
Telephone Number : 843-763-2006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2014
Last Update Date : 04/11/2014

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