Provider Demographics
NPI:1215534292
Name:PAULSON, RONALD NORMAN (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:NORMAN
Last Name:PAULSON
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 1:1290 COUNTY ROAD 4711
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-6433
Mailing Address - Country:US
Mailing Address - Phone:903-348-1969
Mailing Address - Fax:
Practice Address - Street 1:809 GILMER ST
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-4377
Practice Address - Country:US
Practice Address - Phone:903-885-7532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-03
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27119183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist