Provider Demographics
NPI:1174741706
Name:GOLUBSKI, RONALD JOSEPHY (RPH)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JOSEPHY
Last Name:GOLUBSKI
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 1:1005 N. LOCUST ST.
Mailing Address - Street 2:
Mailing Address - City:TRUTH OR CONSEQUENCES
Mailing Address - State:NM
Mailing Address - Zip Code:87901-1525
Mailing Address - Country:US
Mailing Address - Phone:505-894-1079
Mailing Address - Fax:505-894-0585
Practice Address - Street 1:500 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:TRUTH OR CONSEQUENCES
Practice Address - State:NM
Practice Address - Zip Code:87901-2729
Practice Address - Country:US
Practice Address - Phone:505-894-1079
Practice Address - Fax:505-894-0585
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM5834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist