Provider Demographics
NPI:1134891690
Name:WARD, RONALD JAMES JR
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:JAMES
Last Name:WARD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 E MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-3333
Mailing Address - Country:US
Mailing Address - Phone:330-497-0963
Mailing Address - Fax:330-497-1993
Practice Address - Street 1:1955 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-3333
Practice Address - Country:US
Practice Address - Phone:330-497-0963
Practice Address - Fax:330-497-1993
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03114744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist