Provider Demographics
NPI:1861093346
Name:FRANTZ, LADONNA KAY (RPH)
Entity type:Individual
Prefix:
First Name:LADONNA
Middle Name:KAY
Last Name:FRANTZ
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 1:2870 VALLEY VIEW RD NW
Mailing Address - Street 2:
Mailing Address - City:DEPAUW
Mailing Address - State:IN
Mailing Address - Zip Code:47115-8136
Mailing Address - Country:US
Mailing Address - Phone:812-972-3490
Mailing Address - Fax:
Practice Address - Street 1:2363 HIGHWAY 135 NW
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2153
Practice Address - Country:US
Practice Address - Phone:812-738-1296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26016038A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist