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Douglas John Altavilla Jr., PharmD

Pharmacist in Bethesda, MD. Individual provider (NPI-1).

NPI number1457284895
StatusActive
Last updated in NPPESJun 12, 2026

Details

NPI
1457284895
Entity type
Individual (NPI-1)
Name
Douglas John Altavilla Jr.
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 5, 2026
Certification date
Jun 12, 2026
Last updated
Jun 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist30014MDYes

Practice location

8901 Rockville Pike
Bethesda, MD 20889-0001

Phone 800-526-7101

Mailing address

8901 Rockville Pike
Bethesda, MD 20889-0001

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