Individual
DR. DOUGLAS JOSEPH DONOVALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
2 FIRST AVE SOUTH, CLENDENIN, WV 25045
(304) 548-6593
Mailing address
4 CHIMNEY HILL LANE, CHARLESTON, WV 25311
(304) 545-4626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006770
WV
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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