Provider Demographics
NPI:1003103607
Name:RING, MIKE AINSLEY JR (PHARM D)
Entity Type:Individual
Prefix:
First Name:MIKE
Middle Name:AINSLEY
Last Name:RING
Suffix:JR
Gender:M
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 1:4300 LAS POSITAS RD
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-9641
Mailing Address - Country:US
Mailing Address - Phone:925-245-1406
Mailing Address - Fax:925-245-1406
Practice Address - Street 1:4300 LAS POSITAS RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9641
Practice Address - Country:US
Practice Address - Phone:925-245-1406
Practice Address - Fax:925-245-1406
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48750183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist