Ronald Garrett Lawrence, RPH
Individual provider Active NPI Pharmacist · Fayette, AL
NPI 1811535131 · NPPES record last updated Dec 17, 2019
Key facts
- NPI
- 1811535131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12058 (AL)
- Practice address
- 1128 2ND Ave NE
Fayette, AL 35555-1739 - Phone
- (205) 932-5400
- Fax
- (205) 932-5401
- NPI assigned
- Dec 17, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12058 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12058 | AL | Yes |
Addresses
Primary practice location
1128 2ND Ave NE
Fayette, AL 35555-1739
Mailing address
1128 2ND Ave NE
Fayette, AL 35555-1739
Phone (205) 932-5400
Other providers in Fayette, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.