Provider Demographics
NPI:1649544149
Name:PRATT, DOUGLAS CRAIG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:CRAIG
Last Name:PRATT
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 1:9 33RD AVENUE CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7849
Mailing Address - Country:US
Mailing Address - Phone:253-851-6565
Mailing Address - Fax:
Practice Address - Street 1:9 33RD AVENUE CT NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7849
Practice Address - Country:US
Practice Address - Phone:253-851-6565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000218031835G0303X
CARPH376961835G0303X
ORRPH00116031835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric