MR. Donald Edward Mayden

NPI #1316047053 in Wood River, Illinois

Provider Information

NPI Number: 1316047053
Entity Type: Individual
Name: MR. Donald Edward Mayden
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 E FERGUSON AVE
City: Wood River
State: Illinois
ZIP Code: 62095-2146
Phone: (618) 254-6223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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