Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS MELVIN ODEGAARD JR., RPH
Active Sole ProprietorMR. DOUGLAS MELVIN ODEGAARD JR., RPH is a Pharmacotherapy Specialist healthcare provider located in WHITEMAN AFB, Missouri. NPI 1891714796 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · WHITEMAN AFB, MO
Registration Details
- NPI Number
- 1891714796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.11085119173 yrs)
- Last Updated
- Oct 28, 2016
- License
-
PS38291 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
331 SIJAN AVE509 MDOS CCWHITEMAN AFB, MO, 653051269Browse MO providers · Browse ZIP 65305
- Phone
- 6606871194
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
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.