Provider Demographics
NPI:1598069965
Name:MCDONAGH, BETH LYNN (PHARMD, RPH)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:LYNN
Last Name:MCDONAGH
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 FULLER ST
Mailing Address - Street 2:#5B
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2446
Mailing Address - Country:US
Mailing Address - Phone:857-366-1099
Mailing Address - Fax:
Practice Address - Street 1:320 PARK AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-1021
Practice Address - Country:US
Practice Address - Phone:508-767-1732
Practice Address - Fax:508-767-0694
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist