Provider Demographics
NPI:1730481573
Name:PARKER, RONALD MCKINNON (RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:MCKINNON
Last Name:PARKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:RON
Other - Middle Name:M
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1371 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-1966
Mailing Address - Country:US
Mailing Address - Phone:919-567-7426
Mailing Address - Fax:919-567-7430
Practice Address - Street 1:1371 E BROAD ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-1966
Practice Address - Country:US
Practice Address - Phone:919-567-7426
Practice Address - Fax:919-567-7430
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist