| Doctor Name: | MR. RONALD STEVEN POOLE |
| NPI Number: | 1093798613 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.PH. |
| License Number: | 10110 |
| Business Practice Address: | 102 W Broad St Central City, KY - 423301538 |
| Business Phone Number: | 2707541545 |
| Business Fax Number: | 2707549069 |
| Mailing Address: | 900 W Whitmer St, CENTRAL CITY |
| State: | KY |
| Postal Code: | 423302053 |
| Phone Number: | 2707541541 |
| Fax Number: | 2707549069 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835N1003X |
| License Number: | 10110 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | KY |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Nutrition Support |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |