Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS EDWARD GARDNER, RPH
Active Sole ProprietorPharmacist · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1356637524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2011 (14.833633825107 yrs)
- Last Updated
- Jun 25, 2011
- License
-
E-6112 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
465 STATELINE RD WSOUTHAVEN, MS, 386711611Browse MS providers · Browse ZIP 38671
- Phone
- 6623933426
- Fax
- 6623931605
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| ROBIN FREY | R.PH. | 1326356882 |
| MELANIE CALHOUN | — | 1922316496 |
| MRS. KIMBERLY SHEA SHURDEN | PHARMD | 1396053724 |
| MRS. JERRI J CONLEE | R.PH. | 1700175692 |
| MR. WILLIAM E. BRENT | RPH | 1174812069 |
| DR. AMY WOODS BASS | PHARMD | 1932499126 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.