Provider Demographics
NPI:1093936478
Name:MARONDE, RONALD EDWARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:EDWARD
Last Name:MARONDE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 CHINOOK DR NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-1955
Mailing Address - Country:US
Mailing Address - Phone:253-568-9939
Mailing Address - Fax:
Practice Address - Street 1:12501 E MARGINAL WAY S
Practice Address - Street 2:SUITE E245
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-2560
Practice Address - Country:US
Practice Address - Phone:206-901-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00041603183500000X, 1835N0905X
IL51-27610183500000X
IL51-246101835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835N0905XPharmacy Service ProvidersPharmacistNuclear