Provider Demographics
NPI:1689723348
Name:HUNTER, LADONA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LADONA
Middle Name:MARIE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 206
Mailing Address - Street 2:457 WASHINGTON STREET
Mailing Address - City:PRESTON
Mailing Address - State:GA
Mailing Address - Zip Code:31824-0206
Mailing Address - Country:US
Mailing Address - Phone:229-828-7912
Mailing Address - Fax:
Practice Address - Street 1:310 ALSTON ST.
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:GA
Practice Address - Zip Code:31825
Practice Address - Country:US
Practice Address - Phone:229-887-3747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA17763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist