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NPI Code Detail

MEDICARE: MR. RIJO SANTHOSH RPH

MEDICARE: MR. RIJO SANTHOSH 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
1183500000XPharmacist021244LA

General Provider Information

NPI Number : 1083082952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RIJO SANTHOSH RPH
Provider Business Mailing Address
First Line : 12207 BELL CREEK DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1626
Country : US
Telephone Number : 254-592-0122
Fax Number :
Provider Business Practice Location Address
First Line : 120 N HIGHWAY 171
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70611-5343
Country : US
Telephone Number : 337-855-4848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2015
Last Update Date : 09/09/2015

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Directions to “ MR. RIJO SANTHOSH RPH” Practice Location

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