Provider Demographics
NPI:1245676121
Name:TOMASINI, RONALD JOHN (RPH)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:JOHN
Last Name:TOMASINI
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 1:1540 FROOM RANCH WAY
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93405-7211
Mailing Address - Country:US
Mailing Address - Phone:805-541-7028
Mailing Address - Fax:805-541-7025
Practice Address - Street 1:1540 FROOM RANCH WAY
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-7211
Practice Address - Country:US
Practice Address - Phone:805-541-7028
Practice Address - Fax:805-541-7025
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA285931835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy