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DOUGLAS PHARMACY LLC NPI 1083805261


NPI Information

NPI: 1083805261
Provider Name: DOUGLAS PHARMACY LLC

Doing Business As: DOUGLAS HEALTH MART PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
94 W 5TH ST
DOUGLAS, AZ
ZIP 85607
Phone: (520) 364-2315
Get Directions

DOUGLAS PHARMACY LLC is a community/retail pharmacy pharmacy in Douglas, AZ. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DOUGLAS PHARMACY LLC NPI is 1083805261. The provider is registered as an organization entity type.
The provider Is Doing Business As Douglas Health Mart Pharmacy.

The provider's business location address is:

94 W 5TH ST
DOUGLAS, AZ
ZIP 85607-851
Phone: (520) 364-2315
Fax: (520) 364-2318

The provider's authorized official is Greg Shumaker .
The authorized official title is Owner and has the following contact phone number (520) 364-2315.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyY004878ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10354895OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2290702MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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