Douglas, Ezra

Douglas, Ezra is an individual health care provider with primary practice located at 939 Angular St , Burlington IA 52601-3918. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Douglas, Ezra can be contacted via phone (319) 753-0112.

Contact Information

Primary practice address
939 Angular St Burlington IA 52601-3918
Fax: (319) 753-0113
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19975 Iowa

Profile Details

NPI number 1700425238
LBN Legal business name Douglas, Ezra
Credentials PHARMD.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2020
Last updated Jan 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers