Provider Demographics
NPI:1447935473
Name:SCOTT, RONALD ARTHUR (PHARMD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:ARTHUR
Last Name:SCOTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1758
Mailing Address - Street 2:
Mailing Address - City:BORREGO SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92004-1758
Mailing Address - Country:US
Mailing Address - Phone:714-262-9713
Mailing Address - Fax:
Practice Address - Street 1:590 PALM CANYON DR
Practice Address - Street 2:
Practice Address - City:BORREGO SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92004-4000
Practice Address - Country:US
Practice Address - Phone:760-767-3047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist