MEDICARE: DONSCO 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	0201003391	VA
2	3336C0003X	Community/Retail Pharmacy	0201003391	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00024F	OTHER	VA	MEDICARE FLU
5	P00231431	OTHER	VA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4830495	OTHER	VA	NABP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740285857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONSCO INC

Provider Business Mailing Address
First Line	:	2105 ACADEMY RD
Second Line	:	STE E
City	:	POWHATAN
State	:	VA
Zip	:	23139-5829
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2105 ACADEMY RD
Second Line	:	SUITE E
City	:	POWHATAN
State	:	VA
Zip	:	23139-5829
Country	:	US
Telephone Number	:	804-598-5028
Fax Number	:	504-598-6117

Authorized Official
Title or Position	:	PHARMACY DIRECTOR
Name	:	GINA THOMPSON
Credential	:
Telephone Number	:	804-379-6986

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	01/08/2008

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Directions to “DONSCO INC ” Practice Location

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