Provider Demographics
NPI:1407245251
Name:WELCH, RONALD (RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:WELCH
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 1:5101 CELBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6207
Mailing Address - Country:US
Mailing Address - Phone:919-847-2371
Mailing Address - Fax:
Practice Address - Street 1:5101 CELBRIDGE PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-6207
Practice Address - Country:US
Practice Address - Phone:919-847-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC81671835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy