Provider Demographics
NPI:1245574417
Name:ORGAIN, DONALD PATRICK (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:PATRICK
Last Name:ORGAIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HENSLEE DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2050
Mailing Address - Country:US
Mailing Address - Phone:615-446-7485
Mailing Address - Fax:615-740-9728
Practice Address - Street 1:301 HENSLEE DR
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2050
Practice Address - Country:US
Practice Address - Phone:615-446-7485
Practice Address - Fax:615-740-9728
Is Sole Proprietor?:No
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4056183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist