Provider Demographics
NPI:1528215084
Name:EDWARDS, RONALD D (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:D
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6675 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-3603
Mailing Address - Country:US
Mailing Address - Phone:303-683-4179
Mailing Address - Fax:
Practice Address - Street 1:6675 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-3603
Practice Address - Country:US
Practice Address - Phone:303-683-4179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE08929183500000X
CO24249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPFA.0024249OtherPHARMACY
MSE-08929OtherSTATE LICENSE