Provider Demographics
NPI:1235366964
Name:HERMAN, RONNA MICHELLE (RPH)
Entity Type:Individual
Prefix:
First Name:RONNA
Middle Name:MICHELLE
Last Name:HERMAN
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 1:100 ALSTAN CT
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2306
Mailing Address - Country:US
Mailing Address - Phone:412-825-8054
Mailing Address - Fax:
Practice Address - Street 1:100 ALSTAN CT
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2306
Practice Address - Country:US
Practice Address - Phone:412-825-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-21
Last Update Date:2009-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041788L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist