Provider Demographics
NPI:1760818074
Name:MACLATCHY, APRIL DAWN-BONDY (PHARMD)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN-BONDY
Last Name:MACLATCHY
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 1:615 WELLINGTON LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-8533
Mailing Address - Country:US
Mailing Address - Phone:678-858-5901
Mailing Address - Fax:
Practice Address - Street 1:4325 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-2341
Practice Address - Country:US
Practice Address - Phone:678-858-5901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist