Provider Demographics
NPI:1336146950
Name:CALHOUN, DONNIE RAY (RPH)
Entity Type:Individual
Prefix:DR
First Name:DONNIE
Middle Name:RAY
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 REBECCA TRL
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-7616
Mailing Address - Country:US
Mailing Address - Phone:256-237-4787
Mailing Address - Fax:256-237-9708
Practice Address - Street 1:3320 HENRY RD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-6344
Practice Address - Country:US
Practice Address - Phone:256-236-7611
Practice Address - Fax:256-237-9708
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11150183500000X
TN6979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist