Provider Demographics
NPI:1639212871
Name:CARDIN, RONDA D
Entity Type:Individual
Prefix:MISS
First Name:RONDA
Middle Name:D
Last Name:CARDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3832 GRASSMERE LN
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-8247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:812-469-7438
Practice Address - Street 1:1550 VANN AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-3359
Practice Address - Country:US
Practice Address - Phone:812-469-7435
Practice Address - Fax:812-469-7438
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN67010374A183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician