Healthcare Provider Details

I. General information

NPI: 1700997970
Provider Name (Legal Business Name): RONALD DAVID TAPLEY PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 STATE HOSPITAL DR
BANGOR ME
04401-8816
US

IV. Provider business mailing address

282 JR WILLIAMS RD
WESLEY ME
04686-4217
US

V. Phone/Fax

Practice location:
  • Phone: 207-561-3600
  • Fax: 207-262-4235
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPR3179
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: