Provider Demographics
NPI:1568745800
Name:AMES, RODNEY EUGENE (RPH)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:EUGENE
Last Name:AMES
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 1:375 HIGHLINE DR
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5344
Mailing Address - Country:US
Mailing Address - Phone:509-886-0754
Mailing Address - Fax:509-886-1715
Practice Address - Street 1:375 HIGHLINE DR
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-5344
Practice Address - Country:US
Practice Address - Phone:509-886-0754
Practice Address - Fax:509-886-1715
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00011508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist