Provider Demographics
NPI:1982974564
Name:KRASON, DONALD WALTER (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:WALTER
Last Name:KRASON
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 1:1401 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-2201
Mailing Address - Country:US
Mailing Address - Phone:740-423-9561
Mailing Address - Fax:740-423-0139
Practice Address - Street 1:1401 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-2201
Practice Address - Country:US
Practice Address - Phone:740-423-9561
Practice Address - Fax:740-423-0139
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03310603183500000X
WVRP0003455183500000X
PARP030366L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist