Walter Joseph Douglass, is a
Pharmacist based in Durham, Connecticut. Walter Joseph Douglass is licensed to practice in Connecticut (license number 5372) and his current practice location is
221 Main Street, Durham, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 349-3478.
NPI number for Walter Joseph Douglass is 1205423738 and his current mailing address is 221 Main Street, Durham, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205423738.
Healthcare Provider's Profile
| Full Name | Walter Joseph Douglass |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 221 Main Street, Durham, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205423738
- Provider Enumeration Date: 12/30/2020
- Last Update Date: 12/30/2020
Medical Identifiers
Medical identifiers for Walter Joseph Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205423738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 5372 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Walter Joseph Douglass is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Walter Joseph Douglass,
221 Main Street,
Durham, CT 06422-1614
Ph: (860) 349-3478 | Walter Joseph Douglass,
221 Main Street,
Durham, CT 06422-1614
Ph: (860) 349-3478 |
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