Douglas Todd Castille, P.D.
Individual provider Active NPI Pharmacist · Deridder, LA
NPI 1487770210 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487770210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14332 (LA)
- Practice address
- 601 S Pine St
Deridder, LA 70634-4941 - Phone
- (337) 463-7442
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 14332 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14332 | LA | Yes |
Addresses
Primary practice location
601 S Pine St
Deridder, LA 70634-4941
Mailing address
1401 Gregg Ave
Eunice, LA 70535-5801
Phone (337) 546-1735
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.