Provider Demographics
NPI:1013080431
Name:LOUIE, RONALD LEONARD (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:LEONARD
Last Name:LOUIE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2175 ENRICO AVE
Mailing Address - Street 2:
Mailing Address - City:FIREBAUGH
Mailing Address - State:CA
Mailing Address - Zip Code:93622-2527
Mailing Address - Country:US
Mailing Address - Phone:559-659-2159
Mailing Address - Fax:559-659-2985
Practice Address - Street 1:1101 O ST
Practice Address - Street 2:
Practice Address - City:FIREBAUGH
Practice Address - State:CA
Practice Address - Zip Code:93622-2224
Practice Address - Country:US
Practice Address - Phone:559-659-2159
Practice Address - Fax:559-659-2985
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist