Individual
JESSE MATTHEW MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4307
(440) 204-4135
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4307
(440) 204-4135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03234036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03234036
BOARD OF PHARMACY - PHARMACIST LICENSE
OH
Enumeration date
10/30/2017
Last updated
06/25/2025
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