Healthcare Provider Details

I. General information

NPI: 1447935473
Provider Name (Legal Business Name): RONALD ARTHUR SCOTT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023
Certification Date: 06/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 PALM CANYON DR
BORREGO SPRINGS CA
92004-4000
US

IV. Provider business mailing address

PO BOX 1758
BORREGO SPRINGS CA
92004-1758
US

V. Phone/Fax

Practice location:
  • Phone: 760-767-3047
  • Fax:
Mailing address:
  • Phone: 714-262-9713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36055
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: