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NPI Code Detail

MEDICARE: RAGL MEDICAL INVESTMENTS LLC

MEDICARE: RAGL MEDICAL INVESTMENTS LLC
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
13336C0003XCommunity/Retail Pharmacy25972TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14541517OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1710192372
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAGL MEDICAL INVESTMENTS LLC
Provider Business Mailing Address
First Line : PO BOX 2816
Second Line :
City : EDINBURG
State : TX
Zip : 78540-2816
Country : US
Telephone Number : 956-380-6565
Fax Number : 956-380-6566
Provider Business Practice Location Address
First Line : 3000 N BUSINESS 281
Second Line :
City : EDINBURG
State : TX
Zip : 78541-7162
Country : US
Telephone Number : 956-380-6565
Fax Number : 956-380-6566
Authorized Official
Title or Position : PIC
Name : HENRY FONSECA
Credential :
Telephone Number : 956-380-6565
Provider Enumeration Date : 05/14/2007
Last Update Date : 01/28/2011

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Directions to “RAGL MEDICAL INVESTMENTS LLC ” Practice Location

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