MEDICARE: DR. RONALD ROBERT CHRISTENSEN PHARM.D. RPH

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	0016802	OR

General Provider Information

NPI Number	:	1568944031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD ROBERT CHRISTENSEN PHARM.D. RPH

Provider Business Mailing Address
First Line	:	2510 ADAMS AVE
Second Line	:
City	:	LA GRANDE
State	:	OR
Zip	:	97850-3467
Country	:	US
Telephone Number	:	541-963-9515
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 ADAMS AVE
Second Line	:
City	:	LA GRANDE
State	:	OR
Zip	:	97850-3467
Country	:	US
Telephone Number	:	541-963-9515
Fax Number	:

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

Provider Enumeration Date	:	08/31/2018
Last Update Date	:	08/31/2018

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