John Tanner McDonald, PharmD
Pharmacist in Tallulah, LA. Individual provider (NPI-1).
NPI number1982152989
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1982152989
- Entity type
- Individual (NPI-1)
- Name
- John Tanner McDonald
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2016
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PST.021663 | LA | Yes |
Practice location
402 East Darrow StreetTallulah, LA 71282
Phone 318-574-1351
Mailing address
132 Baron RoadSterlington, LA 71280
Phone 318-355-8266
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