Ronnie W Cromer, RPH

Individual provider Active NPI Pharmacist · Newberry, SC

NPI 1376579441 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376579441
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
004265 (SC)
Practice address
1254 Wilson Rd
Newberry, SC 29108-4008
Phone
(803) 276-0990
Fax
(803) 276-4276
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
004265SCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 004265 SC Yes

Addresses

Primary practice location

1254 Wilson Rd
Newberry, SC 29108-4008

Mailing address

15 Edgewater Court
Prosperity, SC 29108
Phone (803) 364-3950

Other providers in Newberry, SC

All providers in Newberry, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.