MEDICARE: MR. RONALD EDWARD MARONDE 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	PH00041603	WA
2	183500000X	Pharmacist	51-27610	IL
3	1835N0905X	Nuclear Pharmacist	PH00041603	WA
4	1835N0905X	Nuclear Pharmacist	51-24610	IL

General Provider Information

NPI Number	:	1093936478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD EDWARD MARONDE R.PH.

Provider Business Mailing Address
First Line	:	5215 CHINOOK DR NE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98422-1955
Country	:	US
Telephone Number	:	253-568-9939
Fax Number	:

Provider Business Practice Location Address
First Line	:	12501 E MARGINAL WAY S
Second Line	:	SUITE E245
City	:	TUKWILA
State	:	WA
Zip	:	98168-2560
Country	:	US
Telephone Number	:	206-901-2200
Fax Number	:

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	09/11/2025

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