Provider Demographics
NPI:1821320094
Name:HESS, DONALD B (PD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:B
Last Name:HESS
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 INTERSTATE DR
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4531
Mailing Address - Country:US
Mailing Address - Phone:413-733-8600
Mailing Address - Fax:413-733-5395
Practice Address - Street 1:85 INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4531
Practice Address - Country:US
Practice Address - Phone:413-733-8600
Practice Address - Fax:413-733-5395
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist