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NPI Code Detail

MEDICARE: R.C.MCDONALD CO INC

MEDICARE: R.C.MCDONALD CO INC
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
1333600000XPharmacy2228LA
23336L0003XLong Term Care PharmacyPHY.002228-IRLA
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11906227OTHERLANABP #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326029448
Entity Type Code : Organization
Provider Name (Legal Business Name) : R.C.MCDONALD CO INC
Provider Business Mailing Address
First Line : 1701 CHARTER ST
Second Line : PO BOX 306
City : JACKSON
State : LA
Zip : 70748-5927
Country : US
Telephone Number : 225-634-2470
Fax Number : 225-634-7975
Provider Business Practice Location Address
First Line : 1701 CHARTER ST
Second Line :
City : JACKSON
State : LA
Zip : 70748-5927
Country : US
Telephone Number : 225-634-2470
Fax Number : 225-634-7975
Authorized Official
Title or Position : OWNER/PHARMACIST
Name : MICHAEL K. TOMB
Credential : RPH
Telephone Number : 225-634-2470
Provider Enumeration Date : 11/07/2005
Last Update Date : 05/09/2025

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Directions to “R.C.MCDONALD CO INC ” Practice Location

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