Provider Demographics
NPI:1245501154
Name:DONAHUE, MICHAEL J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:DONAHUE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 S 70TH ST
Mailing Address - Street 2:WALGREENS #6884
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-4658
Mailing Address - Country:US
Mailing Address - Phone:402-489-0338
Mailing Address - Fax:
Practice Address - Street 1:4000 S 70TH ST
Practice Address - Street 2:WALGREENS #6884
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-4658
Practice Address - Country:US
Practice Address - Phone:402-489-0338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE9870OtherPHARMACIST LICENSE