Provider Demographics
NPI:1336125756
Name:BYRD, RALPH DANIEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:DANIEL
Last Name:BYRD
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:PSC 476 BOX 361
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96322
Mailing Address - Country:US
Mailing Address - Phone:0118195-650-2075
Mailing Address - Fax:
Practice Address - Street 1:PSC 476 BOX 361
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96322
Practice Address - Country:US
Practice Address - Phone:252-2075
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist