MEDICARE: MR. RONALD R TOMASZEWSKI RPH.

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		IL

General Provider Information

NPI Number	:	1447453741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD R TOMASZEWSKI RPH.

Provider Business Mailing Address
First Line	:	782 LINKS CT
Second Line	:
City	:	RIVERWOODS
State	:	IL
Zip	:	60015-3820
Country	:	US
Telephone Number	:	847-236-1962
Fax Number	:

Provider Business Practice Location Address
First Line	:	3004 KIRCHOFF RD
Second Line	:
City	:	ROLLING MEADOWS
State	:	IL
Zip	:	60008-1818
Country	:	US
Telephone Number	:	848-818-0699
Fax Number	:

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

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	07/08/2007

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