Provider Demographics
NPI:1437585767
Name:BOND, RONNA KAY (RPH)
Entity Type:Individual
Prefix:
First Name:RONNA
Middle Name:KAY
Last Name:BOND
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 1:2153 QUAILWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-1743
Mailing Address - Country:US
Mailing Address - Phone:509-758-8855
Mailing Address - Fax:
Practice Address - Street 1:2330 NEZ PERCE DR
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-4107
Practice Address - Country:US
Practice Address - Phone:208-798-0481
Practice Address - Fax:208-798-0715
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP4717183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist