Individual
JOHN TANNER MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
402 EAST DARROW STREET, TALLULAH, LA 71282
(318) 574-1351
Mailing address
132 BARON ROAD, STERLINGTON, LA 71280
(318) 355-8266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021663
LA
Other
Enumeration date
09/19/2016
Last updated
07/23/2020
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