Provider Demographics
NPI:1982153086
Name:LAWRENCE, RONALD CLAYTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CLAYTON
Last Name:LAWRENCE
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:PO BOX 930
Mailing Address - Street 2:
Mailing Address - City:MURPHYS
Mailing Address - State:CA
Mailing Address - Zip Code:95247-0930
Mailing Address - Country:US
Mailing Address - Phone:209-304-6100
Mailing Address - Fax:209-728-2732
Practice Address - Street 1:2182 HIGHWAY 4
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:CA
Practice Address - Zip Code:95223-9908
Practice Address - Country:US
Practice Address - Phone:209-795-1155
Practice Address - Fax:209-795-6862
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist