IndividualActive
Michael Douglas, RPH
NPI 1790897825 · Pharmacist · Mount Vernon, MO
Michael Douglas, RPH is a Pharmacist provider in Mount Vernon, MO (NPI 1790897825).
Provider details
- NPI number
- 1790897825
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 042494 (MO)
Practice location
600 N Main St
Mount Vernon, MO 65712-1004
Phone: (417) 466-0172
Fax: (417) 466-0196
Street-level locationGet directions
Mailing address
600 N Main St
Mount Vernon, MO 65712-1004
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.