Provider Demographics
NPI:1174644744
Name:MORELAND, RONALD LEE (RPH)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:LEE
Last Name:MORELAND
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 1:509 CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:KY
Mailing Address - Zip Code:41040-1409
Mailing Address - Country:US
Mailing Address - Phone:859-654-3964
Mailing Address - Fax:
Practice Address - Street 1:509 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:KY
Practice Address - Zip Code:41040-1409
Practice Address - Country:US
Practice Address - Phone:859-654-3964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist