Healthcare Provider Details

I. General information

NPI: 1326029448
Provider Name (Legal Business Name): R.C.MCDONALD CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 CHARTER ST
JACKSON LA
70748-5927
US

IV. Provider business mailing address

1701 CHARTER ST PO BOX 306
JACKSON LA
70748-5927
US

V. Phone/Fax

Practice location:
  • Phone: 225-634-2470
  • Fax: 225-634-7975
Mailing address:
  • Phone: 225-634-2470
  • Fax: 225-634-7975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2228
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHY.002228-IR
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL K. TOMB
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 225-634-2470