MEDICARE: RONALD JAMES WARD JR.

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	03114744	OH

General Provider Information

NPI Number	:	1134891690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD JAMES WARD JR.

Provider Business Mailing Address
First Line	:	1955 E MAPLE ST
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-3333
Country	:	US
Telephone Number	:	330-497-0963
Fax Number	:	330-497-1993

Provider Business Practice Location Address
First Line	:	1955 E MAPLE ST
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-3333
Country	:	US
Telephone Number	:	330-497-0963
Fax Number	:	330-497-1993

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

Provider Enumeration Date	:	10/04/2021
Last Update Date	:	10/04/2021

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