Provider Demographics
NPI:1144330655
Name:GIVONE, DONNA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:MARIE
Last Name:GIVONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 S DAMEN AVE
Mailing Address - Street 2:PHARMACY SERVICE (119)
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3728
Mailing Address - Country:US
Mailing Address - Phone:312-569-7936
Mailing Address - Fax:312-569-8122
Practice Address - Street 1:820 S DAMEN AVE
Practice Address - Street 2:PHARMACY SERVICE (119)
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3728
Practice Address - Country:US
Practice Address - Phone:312-569-7936
Practice Address - Fax:312-569-8122
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0462341835P1300X
OH03-3-242791835P1300X
SC0099351835P1300X
VA02022052251835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric