Henry, Ronald A.
Henry, Ronald A. is an individual health care provider with primary practice located at 117 South 11Th Avenue , Laurel MS 39440-4312. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Henry, Ronald A. can be contacted via phone (601) 425-3033.Contact Information
Primary practice address
117 South 11Th Avenue
Laurel MS 39440-4312
Phone: (601) 425-3033
Fax: (601) 422-0291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 07318 | Mississippi |
Profile Details
| NPI number | 1831195593 |
|---|---|
| LBN Legal business name | Henry, Ronald A. |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Sep 28th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831195593 | NPPES |
| Mississippi | MEDICAID | 00030565 |
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