Provider Demographics
NPI:1689941338
Name:MACDONALD, RODNEY DOUGLAS (RPH,MS)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:DOUGLAS
Last Name:MACDONALD
Suffix:
Gender:M
Credentials:RPH,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 CAMDEN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-2563
Mailing Address - Country:US
Mailing Address - Phone:207-594-8070
Mailing Address - Fax:207-594-8066
Practice Address - Street 1:235 CAMDEN ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-2563
Practice Address - Country:US
Practice Address - Phone:207-594-8070
Practice Address - Fax:207-594-8066
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR4540183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist