Healthcare Provider Details

I. General information

NPI: 1902910177
Provider Name (Legal Business Name): ASHLEY WHITE DONATO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 BEE ST
CHARLESTON SC
29401-5703
US

IV. Provider business mailing address

617 HAMLET SQUARE LN
MT PLEASANT SC
29464-5195
US

V. Phone/Fax

Practice location:
  • Phone: 843-789-6686
  • Fax:
Mailing address:
  • Phone: 843-388-9507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number010158
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: