MEDICARE: DONALDSON PHARMACY

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
1	3336C0003X	Community/Retail Pharmacy	0000003817	TN

General Provider Information

NPI Number	:	1063520146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALDSON PHARMACY

Provider Business Mailing Address
First Line	:	201 MCARTHUR AVE.
Second Line	:
City	:	CELINA
State	:	TN
Zip	:	38551
Country	:	US
Telephone Number	:	931-243-3434
Fax Number	:	931-243-3550

Provider Business Practice Location Address
First Line	:	201 MCARTHUR AVE.
Second Line	:
City	:	CELINA
State	:	TN
Zip	:	38551
Country	:	US
Telephone Number	:	931-243-3434
Fax Number	:	931-243-3550

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	WILLIAM LESTER DONALDSON
Credential	:	RPH
Telephone Number	:	931-243-3434

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	08/22/2020

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Directions to “DONALDSON PHARMACY ” Practice Location

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