Kaasa, Douglas
Kaasa, Douglas is an sole proprietor health care provider with primary practice located at 1305 Highway 10 W , Detroit Lakes MN 56501-2214. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kaasa, Douglas can be contacted via phone (218) 847-9755.Contact Information
Primary practice address
1305 Highway 10 W
Detroit Lakes MN 56501-2214
Phone: (218) 847-9755
Fax: (847) 747-1701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 115112 | Minnesota |
| Pharmacy Service Providers / Pharmacist | 183500000X | 3549 | North Dakota |
Profile Details
| NPI number | 1609239326 |
|---|---|
| LBN Legal business name | Kaasa, Douglas |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2016 |
| Last updated | Mar 31st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609239326 | NPPES |
| Minnesota | Other | 115112 | MINNESOTA STATE PHARMACY LICENSE |
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