Healthcare Provider Details

I. General information

NPI: 1346323649
Provider Name (Legal Business Name): RONALD JOSEPH MELARAGNI R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W SAGINAW ST
LANSING MI
48915-1925
US

IV. Provider business mailing address

2940 FOOTMAN DR
EAST LANSING MI
48823-1617
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-7474
  • Fax: 517-364-7475
Mailing address:
  • Phone: 517-333-6594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302019754
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: