MEDICARE: MS. ROMONA G DAWSON 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	36526	TX

General Provider Information

NPI Number	:	1619557188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROMONA G DAWSON RPH

Provider Business Mailing Address
First Line	:	20320 NORTHWEST FWY STE 300
Second Line	:
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77065-5643
Country	:	US
Telephone Number	:	832-688-9666
Fax Number	:	832-604-7291

Provider Business Practice Location Address
First Line	:	20320 NORTHWEST FWY STE 300
Second Line	:
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77065-5643
Country	:	US
Telephone Number	:	832-688-9666
Fax Number	:	832-604-7291

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

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	04/09/2021

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