Individual provider · Type 1 NPI

Douglas Wynn Staten, RPH

Pharmacist · Daytona Beach Shores, FL

NPI number 1487721890 Active

Practice location

3422 S Atlantic Ave
Daytona Beach Shores, FL 32118-6349

Fax (386) 756-0498

Mailing address

1425 S Peninsula Dr
Daytona Beach, FL 32118-4829

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XE-08338 (MS)
Pharmacist 183500000XPS44814 (FL)
Pharmacist Primary 183500000XRPH021909 (GA)

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…

2 other providers at this address

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About NPI 1487721890

Douglas Wynn Staten, RPH's National Provider Identifier is 1487721890, issued on Nov 29, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Daytona Beach Shores, FL. The record was last updated on Nov 22, 2020.