Individual
MR. PATRICK J DONAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
504 NORTH DIVISION AVE, PINEHURST, ID 83850
(208) 682-3920
(208) 682-3939
Mailing address
PO BOX 1801, HAYDEN, ID 83835-1801
(208) 682-3920
(208) 682-3939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5220
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5220
PHARMACIST LICENSE #
ID
Enumeration date
02/28/2007
Last updated
07/08/2007
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