Provider Demographics
NPI:1013360262
Name:NAKANO, RONALD (PHARM,D)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:NAKANO
Suffix:
Gender:M
Credentials:PHARM,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43801 VIA PALMA
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-8299
Mailing Address - Country:US
Mailing Address - Phone:760-200-3484
Mailing Address - Fax:
Practice Address - Street 1:42155 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-8006
Practice Address - Country:US
Practice Address - Phone:760-345-3259
Practice Address - Fax:760-345-4681
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38663183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist