Provider Demographics
NPI:1164521845
Name:DONATO, PATRICIA FLEMMA (RPH)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:FLEMMA
Last Name:DONATO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 ELIZABETH CT
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5276
Mailing Address - Country:US
Mailing Address - Phone:518-355-9876
Mailing Address - Fax:518-456-3428
Practice Address - Street 1:251 NEW KARNER RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-4617
Practice Address - Country:US
Practice Address - Phone:518-456-3216
Practice Address - Fax:518-456-3428
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist