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

PHILLIP DOUGLAS

Active Sole Proprietor

PHILLIP DOUGLAS is a Long-Term Care Pharmacy healthcare provider located in SANDERSVILLE, Georgia. NPI 1821731902 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · SANDERSVILLE, GA

Registration Details

NPI Number
1821731902
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2022 (4.3054172628082 yrs)
Last Updated
Apr 18, 2022
License
025361 (GA)
Sole Proprietor
Yes

Practice Information

Address
1308 S HARRIS ST
SANDERSVILLE, GA, 310826913
Browse GA providers · Browse ZIP 31082
Phone
4785521988
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
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.