Provider Demographics
NPI:1629391156
Name:MALONE, RONALD C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:C
Last Name:MALONE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 MOUNTAIN LAUREL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7634
Mailing Address - Country:US
Mailing Address - Phone:505-250-7016
Mailing Address - Fax:
Practice Address - Street 1:384 MOUNTAIN LAUREL RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:505-250-7016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27913183500000X
NC20910183500000X
GA017536183500000X
SC9676183500000X
NM6318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist