Provider Demographics
NPI:1932648540
Name:MCDONALD, JESSICA HARDEMAN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:HARDEMAN
Last Name:MCDONALD
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 1:199 HABERSHAM COUNTY SHOPPING CENTER
Mailing Address - Street 2:
Mailing Address - City:CORNELIA
Mailing Address - State:GA
Mailing Address - Zip Code:30531
Mailing Address - Country:US
Mailing Address - Phone:706-778-8099
Mailing Address - Fax:706-778-8100
Practice Address - Street 1:199 HABERSHAM COUNTY SHOPPING CENTER
Practice Address - Street 2:
Practice Address - City:CORNELIA
Practice Address - State:GA
Practice Address - Zip Code:30531
Practice Address - Country:US
Practice Address - Phone:706-778-8099
Practice Address - Fax:706-778-8100
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist