Provider Demographics
NPI:1578894705
Name:CHRISTMAS, RONALD MADISON (RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:MADISON
Last Name:CHRISTMAS
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:PO BOX 1028
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-1028
Mailing Address - Country:US
Mailing Address - Phone:305-509-0111
Mailing Address - Fax:
Practice Address - Street 1:92100 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070
Practice Address - Country:US
Practice Address - Phone:305-852-5069
Practice Address - Fax:305-852-6301
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-28
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0019888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist