Provider Demographics
NPI:1609801349
Name:RONE, DONALD D III (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:D
Last Name:RONE
Suffix:III
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63873-1614
Mailing Address - Country:US
Mailing Address - Phone:573-379-5469
Mailing Address - Fax:573-379-5459
Practice Address - Street 1:222 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PORTAGEVILLE
Practice Address - State:MO
Practice Address - Zip Code:63873-1614
Practice Address - Country:US
Practice Address - Phone:573-379-5469
Practice Address - Fax:573-379-5459
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO006470OtherPHARMACY LICENSE