Provider Demographics
NPI:1326029448
Name:R.C.MCDONALD CO INC
Entity Type:Organization
Organization Name:R.C.MCDONALD CO INC
Other - Org Name:MCDONALD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:TOMB
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:225-634-2470
Mailing Address - Street 1:1701 CHARTER ST
Mailing Address - Street 2:PO BOX 306
Mailing Address - City:JACKSON
Mailing Address - State:LA
Mailing Address - Zip Code:70748-5927
Mailing Address - Country:US
Mailing Address - Phone:225-634-2470
Mailing Address - Fax:225-634-7975
Practice Address - Street 1:1701 CHARTER ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:LA
Practice Address - Zip Code:70748-5927
Practice Address - Country:US
Practice Address - Phone:225-634-2470
Practice Address - Fax:225-634-7975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2228333600000X
LAPHY.002228-IR3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1258369Medicaid
LA1906227OtherNABP #
LA1906227OtherNABP #