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General NPI Number Information
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NPI Number | 1912441262
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Entity Type | Individual
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Provider Name | THOMAS MCDONALD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 2 BOW LANE
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City | BARNSTABLE
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State | MA
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Zip | 02630-0952
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Country | US
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Telephone | 802-989-1416
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Fax | 802-244-4334
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Provider Business Mailing Address
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Address Line | PO BOX 952
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City | BARNSTABLE
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State | MA
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Zip | 02630-0952
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Country | US
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Telephone | 802-989-1416
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Fax | 802-244-4334
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH22588
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0006887
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033.0003431
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License Number State | VT
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