Provider Demographics
NPI:1548416902
Name:KAY, DONNA R (RPH)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:R
Last Name:KAY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1146
Mailing Address - Country:US
Mailing Address - Phone:630-980-7168
Mailing Address - Fax:
Practice Address - Street 1:150 N PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1146
Practice Address - Country:US
Practice Address - Phone:630-980-7168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-16
Last Update Date:2008-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051032620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist