Doctor Name: | MR. DOUGLAS RAY EDINGER |
NPI Number: | 1568666931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.PH. |
License Number: | PR4377 |
Business Practice Address: | 3 Burnt Cove Road Stonington, ME - 04681 |
Business Phone Number: | 2073675107 |
Business Fax Number: | 2073672497 |
Mailing Address: | Po Box 654, STONINGTON |
State: | ME |
Postal Code: | 046810654 |
Phone Number: | 2073675107 |
Fax Number: | 2073672497 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | PR4377 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |