Provider Demographics
NPI:1508512526
Name:AMMANN, DONALD RAY (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:RAY
Last Name:AMMANN
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 1:205 GARY CIR
Mailing Address - Street 2:
Mailing Address - City:EL CAMPO
Mailing Address - State:TX
Mailing Address - Zip Code:77437-2607
Mailing Address - Country:US
Mailing Address - Phone:979-942-3584
Mailing Address - Fax:
Practice Address - Street 1:205 GARY CIR
Practice Address - Street 2:
Practice Address - City:EL CAMPO
Practice Address - State:TX
Practice Address - Zip Code:77437-2607
Practice Address - Country:US
Practice Address - Phone:979-942-3584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist