Provider Demographics
NPI:1023617693
Name:OPRIS, RONALD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:OPRIS
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 1:17777 N SCOTTSDALE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6572
Mailing Address - Country:US
Mailing Address - Phone:630-401-6568
Mailing Address - Fax:
Practice Address - Street 1:1135 S GILBERT RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5205
Practice Address - Country:US
Practice Address - Phone:480-926-1108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS024607183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZS024607OtherARIZONA STATE BOARD OF PHARMACY