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Individual

MR. DONALD MARK GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
6100 TRACHT DR, GALION, OH 44833-9331
(419) 468-5842
Mailing address
6100 TRACHT DR, GALION, OH 44833-9331
(419) 468-5842

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
14678
NC
183500000X
Pharmacist
RP0003795
WV
183500000X
Pharmacist
Primary
RPH 03213974
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70096099
TAX ID NUMBER
CA
Enumeration date
05/06/2014
Last updated
05/06/2014
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