IndividualActive
Douglas Lill, RPH, CCN
NPI 1285964197 · Nutrition Support Pharmacist · Washington, DC
Provider details
- NPI number
- 1285964197
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- RPH, CCN
- Sex
- Male
- Sole proprietor
- Yes
- License
- PH00000655 (DC)
Mailing address
430 Randolph St Nw
Washington, DC 20011-5940
Registry dates
- Enumerated
- 2009-12-28
- Last updated
- 2009-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.