Provider Demographics
NPI:1588269476
Name:UNGER, DONNA MICHELLE (PHARM D)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MICHELLE
Last Name:UNGER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 SNOW GOOSE CIR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-6680
Mailing Address - Country:US
Mailing Address - Phone:843-818-9209
Mailing Address - Fax:
Practice Address - Street 1:1 S ALLIANCE DR
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-7172
Practice Address - Country:US
Practice Address - Phone:843-824-9375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist