Provider Demographics
NPI:1134265671
Name:DICK, RONALD C (RPH)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:C
Last Name:DICK
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:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-0126
Mailing Address - Country:US
Mailing Address - Phone:814-695-8065
Mailing Address - Fax:814-693-2770
Practice Address - Street 1:1328 3RD AVE
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-1247
Practice Address - Country:US
Practice Address - Phone:814-695-8065
Practice Address - Fax:814-693-2770
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032778L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist