Provider Demographics
NPI:1801193925
Name:ZUMSTEIN, RONALD L (RPH)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:L
Last Name:ZUMSTEIN
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 1:2754 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6804
Mailing Address - Country:US
Mailing Address - Phone:901-756-6073
Mailing Address - Fax:901-872-1655
Practice Address - Street 1:7899 C ST
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-2137
Practice Address - Country:US
Practice Address - Phone:901-872-2214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNC3427183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist