Provider Demographics
NPI:1003181769
Name:MCDONALD, ANTOINETTE MARIA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:MARIA
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:TONI
Other - Middle Name:MARIA
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11 HANNIS ST
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18706-1552
Mailing Address - Country:US
Mailing Address - Phone:570-825-8847
Mailing Address - Fax:
Practice Address - Street 1:153 STEWART RD
Practice Address - Street 2:PHARMERICA
Practice Address - City:HANOVER TWP
Practice Address - State:PA
Practice Address - Zip Code:18706-1486
Practice Address - Country:US
Practice Address - Phone:570-821-0842
Practice Address - Fax:800-577-7017
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039652L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist