Provider Demographics
NPI:1982239323
Name:WARD, SCOTT RONALD (RPH)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:RONALD
Last Name:WARD
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 1:23522 230TH ST
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-8138
Mailing Address - Country:US
Mailing Address - Phone:218-205-7399
Mailing Address - Fax:
Practice Address - Street 1:3300 STATE HIGHWAY 210 W
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-4002
Practice Address - Country:US
Practice Address - Phone:218-739-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN114815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist