MEDICARE: RONNIE DWAINE PROFFITT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	8546	NC

General Provider Information

NPI Number	:	1366855744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONNIE DWAINE PROFFITT

Provider Business Mailing Address
First Line	:	1001 N GREEN ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-9029
Country	:	US
Telephone Number	:	828-544-6119
Fax Number	:	828-544-6122

Provider Business Practice Location Address
First Line	:	1001 N GREEN ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-9029
Country	:	US
Telephone Number	:	828-544-6119
Fax Number	:	828-544-6122

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	02/03/2025

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Directions to “ RONNIE DWAINE PROFFITT ” Practice Location

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