Provider Demographics
NPI:1952600512
Name:LEVASSEUR, DONALD (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:LEVASSEUR
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 1:118 WESTBERRYS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334-9787
Mailing Address - Country:US
Mailing Address - Phone:864-270-8336
Mailing Address - Fax:
Practice Address - Street 1:2120 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-9456
Practice Address - Country:US
Practice Address - Phone:864-433-0422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11252183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist