Provider Demographics
NPI:1275801250
Name:DONAHOE, STEPHANIE (RPH, MPH)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:DONAHOE
Suffix:
Gender:F
Credentials:RPH, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 OLD GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6123
Mailing Address - Country:US
Mailing Address - Phone:301-918-6500
Mailing Address - Fax:
Practice Address - Street 1:7625 OLD GEORGETOWN RD
Practice Address - Street 2:SAFEWAY PHARMACY
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-918-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist