Provider Demographics
NPI:1003087255
Name:KITCHENMAN, RONALD J (RPH)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:J
Last Name:KITCHENMAN
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 1:144 CHAPEL DR
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1629
Mailing Address - Country:US
Mailing Address - Phone:215-953-0134
Mailing Address - Fax:
Practice Address - Street 1:500 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-1417
Practice Address - Country:US
Practice Address - Phone:215-295-2834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026649L183500000X
NJ28RI01330800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI01330800OtherPHARMACIST
PARP026649LOtherPHARMACIST