Provider Demographics
NPI:1891089009
Name:BRAUN, DOUGLAS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:
Last Name:BRAUN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6114 MANCHESTER PL
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-2410
Mailing Address - Country:US
Mailing Address - Phone:239-273-8821
Mailing Address - Fax:239-288-0482
Practice Address - Street 1:6114 MANCHESTER PL
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-2410
Practice Address - Country:US
Practice Address - Phone:239-273-8821
Practice Address - Fax:239-288-0482
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist