Individual
MICHAEL T DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
910 BROAD ST, BELOIT, WI 53511-6351
(608) 362-6047
(608) 362-6480
Mailing address
2011 JONQUIL PL, ROCKFORD, IL 61107-1517
(815) 977-3322
(815) 977-3322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15379-40
WI
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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