Provider Demographics
NPI:1073769808
Name:HAMILTON, DONALD R (PD)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:R
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 BUTTERFLY CT
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-5428
Mailing Address - Country:US
Mailing Address - Phone:410-442-2314
Mailing Address - Fax:
Practice Address - Street 1:1795 BUTTERFLY CT
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-5428
Practice Address - Country:US
Practice Address - Phone:410-442-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD065481835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist