Provider Demographics
NPI:1639448038
Name:MCMYNE, DONALD THOMAS (RPH)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:THOMAS
Last Name:MCMYNE
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 1:40 V TWIN DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7875
Mailing Address - Country:US
Mailing Address - Phone:717-339-2600
Mailing Address - Fax:717-339-2601
Practice Address - Street 1:310 STOCK ST STE 1
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2276
Practice Address - Country:US
Practice Address - Phone:717-630-8835
Practice Address - Fax:717-630-8836
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist