Provider Demographics
NPI:1043554215
Name:CAMERON, RONALD G (PHARMD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:G
Last Name:CAMERON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9081 W SAHARA AVE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-4802
Mailing Address - Country:US
Mailing Address - Phone:702-259-0536
Mailing Address - Fax:800-608-8786
Practice Address - Street 1:9081 W SAHARA AVE
Practice Address - Street 2:SUITE 270
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-4802
Practice Address - Country:US
Practice Address - Phone:702-259-0536
Practice Address - Fax:800-608-8786
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist