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NPI Code Detail

MEDICARE: HANK AARON RAGANIT LABARCON RPH

MEDICARE: HANK AARON RAGANIT LABARCON 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
1183500000XPharmacist61003CA

General Provider Information

NPI Number : 1366763328
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANK AARON RAGANIT LABARCON RPH
Provider Business Mailing Address
First Line : 119 NOVA ALBION WAY
Second Line : 329
City : SAN RAFAEL
State : CA
Zip : 94903-3508
Country : US
Telephone Number : 415-717-5566
Fax Number :
Provider Business Practice Location Address
First Line : 1500 NORTHGATE MALL
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-3671
Country : US
Telephone Number : 415-492-0888
Fax Number : 415-492-0551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2010
Last Update Date : 06/14/2010

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