Provider Demographics
NPI:1851716146
Name:MCDONALD, MARY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 COBBS FORD RD
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-7763
Mailing Address - Country:US
Mailing Address - Phone:334-285-0623
Mailing Address - Fax:334-285-3289
Practice Address - Street 1:2451 COBBS FORD RD
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-7763
Practice Address - Country:US
Practice Address - Phone:334-285-0623
Practice Address - Fax:334-285-3289
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist