MEDICARE: MR. RONALD LOUIS RUMSEY R.PH

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	24572	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	24572	OTHER	TX	TX BOARD OF PHARMACY

General Provider Information

NPI Number	:	1467462309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD LOUIS RUMSEY R.PH

Provider Business Mailing Address
First Line	:	9209 ELAM RD
Second Line	:	SUITE 105
City	:	DALLAS
State	:	TX
Zip	:	75217-4179
Country	:	US
Telephone Number	:	214-391-6363
Fax Number	:	214-391-6004

Provider Business Practice Location Address
First Line	:	9209 ELAM RD
Second Line	:	SUITE 105
City	:	DALLAS
State	:	TX
Zip	:	75217-4179
Country	:	US
Telephone Number	:	214-391-6363
Fax Number	:	214-391-6004

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. RONALD LOUIS RUMSEY R.PH” Practice Location

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