Provider Demographics
NPI:1073112454
Name:TODD, DONNIE FRANK JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DONNIE
Middle Name:FRANK
Last Name:TODD
Suffix:JR
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 1:6315 GARTH RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-9686
Mailing Address - Country:US
Mailing Address - Phone:346-216-4155
Mailing Address - Fax:346-216-4157
Practice Address - Street 1:6315 GARTH RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9686
Practice Address - Country:US
Practice Address - Phone:346-216-4155
Practice Address - Fax:346-216-4157
Is Sole Proprietor?:No
Enumeration Date:2020-10-18
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX502651835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist