National Provider Identifier Database

CHARLIE DOUGLAS, PHARM.D. – NPI #1174124176
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

CHARLIE DOUGLAS, PHARM.D.
1024 SOUTH STATE ROAD 19
PHARMACY
PALATKA, FL32177
Phone: 386-328-2786
Fax:
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for CHARLIE DOUGLAS

NPI Number 1174124176
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 11/05/2020
Last updated 11/05/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: PS54955
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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