Provider Demographics
NPI:1104253194
Name:MACOSKO, RONALD MICHAEL (RPH)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:MICHAEL
Last Name:MACOSKO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 NOBLESTOWN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-1230
Mailing Address - Country:US
Mailing Address - Phone:888-347-3416
Mailing Address - Fax:
Practice Address - Street 1:500 NOBLESTOWN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-1230
Practice Address - Country:US
Practice Address - Phone:888-347-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP 023385-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist