Provider Demographics
NPI:1255604286
Name:CARTER, DONNA LATOYA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LATOYA
Last Name:CARTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:LATOYA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:500 FURYS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-7900
Mailing Address - Country:US
Mailing Address - Phone:706-869-1281
Mailing Address - Fax:706-869-1281
Practice Address - Street 1:500 FURYS FERRY RD
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-7900
Practice Address - Country:US
Practice Address - Phone:706-869-1281
Practice Address - Fax:706-869-1281
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH019785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist