Provider Demographics
NPI:1578626560
Name:HERMAN, RONALD ALTON (RPH, PHD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALTON
Last Name:HERMAN
Suffix:
Gender:M
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1939 CALVIN AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-3101
Mailing Address - Country:US
Mailing Address - Phone:319-354-2195
Mailing Address - Fax:
Practice Address - Street 1:100 OAKDALE BLVD., N337 OH
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-5000
Practice Address - Country:US
Practice Address - Phone:319-335-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA14763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist