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NPI Code Detail

MEDICARE: ASHLEY MCDONALD PHARMD

MEDICARE: ASHLEY MCDONALD PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist123730MN

General Provider Information

NPI Number : 1457959165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MCDONALD PHARMD
Provider Business Mailing Address
First Line : 6095 GOODVIEW TRL N
Second Line :
City : HUGO
State : MN
Zip : 55038-7471
Country : US
Telephone Number : 651-900-4849
Fax Number :
Provider Business Practice Location Address
First Line : 950 11TH ST SW
Second Line :
City : PINE CITY
State : MN
Zip : 55063-2113
Country : US
Telephone Number : 320-629-6225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2020
Last Update Date : 10/14/2020

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Directions to “ ASHLEY MCDONALD PHARMD” Practice Location

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