NPI 1043543416

Douglas Blake Rodenberry, PHARMD

Practitioner Pharmacist Robertsdale, AL

Practice location

Address: 21951 State Highway 59 S, Robertsdale, AL 36567-8716
Phone: (251) 947-5777
Mailing address: 11122 Bulb Dr, Daphne, AL 36526-5401

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 16216 (AL)

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Registry record

NPI: 1043543416
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2009
Record last updated: 16 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.