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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS WYNN STATEN, RPH

Active Sole Proprietor

DOUGLAS WYNN STATEN, RPH is a Pharmacist healthcare provider located in DAYTONA BEACH SHORES, Florida. NPI 1487721890 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · DAYTONA BEACH SHORES, FL

Registration Details

NPI Number
1487721890
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2006 (19.692739695696 yrs)
Last Updated
Nov 22, 2020
Licenses
E-08338 (MS)
PS44814 (FL)
RPH021909 (GA)
Sole Proprietor
Yes

Practice Information

Address
3422 S ATLANTIC AVE
DAYTONA BEACH SHORES, FL, 321186349
Browse FL providers · Browse ZIP 32118
Phone
3867560481
Fax
3867560498
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in DAYTONA BEACH SHORES, FL

Name Credential NPI
LISA M LIBBY RPH 1497036917
MR. VINCENT JOHN VINTAGE PHARMD 1699059717
STEVEN ROBERT SHAFTER RPH 1114296274
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.