Provider Demographics
NPI:1376828897
Name:HILES, RONALD A (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:A
Last Name:HILES
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 1:1838 S ASH ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-4020
Mailing Address - Country:US
Mailing Address - Phone:785-418-6988
Mailing Address - Fax:
Practice Address - Street 1:1502 INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-6220
Practice Address - Country:US
Practice Address - Phone:620-342-3301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist