Provider Demographics
NPI:1760803837
Name:DAVIS, RONALD L (RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:L
Last Name:DAVIS
Suffix:
Gender:M
Credentials:RPH
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Mailing Address - Street 1:6200 SAVOY
Mailing Address - Street 2:STE 540
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3338
Mailing Address - Country:US
Mailing Address - Phone:713-778-1300
Mailing Address - Fax:713-778-0827
Practice Address - Street 1:6800 WEST LOOP S
Practice Address - Street 2:STE 590
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4528
Practice Address - Country:US
Practice Address - Phone:832-319-7610
Practice Address - Fax:832-319-7611
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX20550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist