Provider Demographics
NPI:1821374299
Name:HUNT, RONALD L (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:L
Last Name:HUNT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 JFK RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2881
Mailing Address - Country:US
Mailing Address - Phone:563-582-1659
Mailing Address - Fax:563-582-1869
Practice Address - Street 1:2260 JOHN F KENNEDY RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2881
Practice Address - Country:US
Practice Address - Phone:563-582-1659
Practice Address - Fax:563-582-1863
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA13597183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist