Provider Demographics
NPI:1568745644
Name:KYLE, DONALD CAMPBELL JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:CAMPBELL
Last Name:KYLE
Suffix:JR
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 1:121 FOSDICK ST
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-4109
Mailing Address - Country:US
Mailing Address - Phone:334-222-7720
Mailing Address - Fax:
Practice Address - Street 1:121 FOSDICK ST
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-4109
Practice Address - Country:US
Practice Address - Phone:334-222-7720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-24
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist