Provider Demographics
NPI:1043430069
Name:LAING, RHONDA ROSE (RPH)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:ROSE
Last Name:LAING
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 1:10434 CLYDESDALE DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-9336
Mailing Address - Country:US
Mailing Address - Phone:850-878-4224
Mailing Address - Fax:850-878-9096
Practice Address - Street 1:1632 WEST JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-9336
Practice Address - Country:US
Practice Address - Phone:850-627-4686
Practice Address - Fax:850-627-4687
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16227183500000X
GA16664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist