Mcdonough, Martin Joseph
Mcdonough, Martin Joseph is an sole proprietor health care provider with primary practice located at 2217 Plaza Dr #300, Rocklin CA 95765-4404. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Mcdonough, Martin Joseph can be contacted via phone (916) 960-4036.Contact Information
Primary practice address
2217 Plaza Dr #300
Rocklin CA 95765-4404
Phone: (916) 960-4036
Fax: (916) 960-4040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 29507 | California |
Profile Details
| NPI number | 1861518086 |
|---|---|
| LBN Legal business name | Mcdonough, Martin Joseph |
| Credentials | PHARMD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861518086 | NPPES |
| California | Other | 29507 | PHARMACY LICENSE |
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