Charlotte Douge
Individual provider Active NPI Pharmacist · Narberth, PA
NPI 1487288809 · NPPES record last updated Feb 25, 2020
Key facts
- NPI
- 1487288809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP454168 (PA)
- Practice address
- 640 Montgomery Ave
Narberth, PA 19072-2031 - Phone
- (610) 664-4010
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP454168 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emax Pharmacy | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP454168 | PA | Yes |
Addresses
Primary practice location
640 Montgomery Ave
Narberth, PA 19072-2031
Mailing address
1539 Tribbett Ave
Sharon Hill, PA 19079-2431
Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.