Provider Demographics
NPI:1891402509
Name:SUTTON, RONALD L (RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:L
Last Name:SUTTON
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 1:146 RED BARN ROAD
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40484-0356
Mailing Address - Country:US
Mailing Address - Phone:859-339-8145
Mailing Address - Fax:
Practice Address - Street 1:146 RED BARN ROAD
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:KY
Practice Address - Zip Code:40484-0356
Practice Address - Country:US
Practice Address - Phone:859-339-8145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY006494183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist