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Individual

DR. JONATHAN WILLIAM RONCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
887 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-3900
(706) 861-3337
Mailing address
887 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742
(706) 861-3337

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031119
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578666227
CVS
Enumeration date
04/08/2020
Last updated
04/08/2020
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