Poole, Ronald Steven
Poole, Ronald Steven is an individual health care provider with primary practice located at 102 W Broad St , Central City KY 42330-1538. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nutrition Support, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Poole, Ronald Steven can be contacted via phone (270) 754-1545.Contact Information
Primary practice address
102 W Broad St
Central City KY 42330-1538
Phone: (270) 754-1545
Fax: (270) 754-9069
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 10110 | Kentucky |
Pharmacy Service Providers / Nutrition Support | 1835N1003X | 10110 | Kentucky |
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 10110 | Kentucky |
Profile Details
NPI number | 1093798613 |
---|---|
LBN Legal business name | Poole, Ronald Steven |
Credentials | R.PH. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2005 |
Last updated | Jul 9th, 2007 - about 17 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 | 1093798613 | NPPES |
Kentucky | Other | 10110 | PHARMACIST LICENSE # |
Kentucky | MEDICAID | 54006341 | PHARMACIST LICENSE # |
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