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NPI Code Detail

MEDICARE: JEANINE RAGUSA RPH

MEDICARE: JEANINE RAGUSA 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
1183500000XPharmacist052653NY

General Provider Information

NPI Number : 1427370741
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANINE RAGUSA RPH
Provider Business Mailing Address
First Line : 758 ARTHUR KILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 758 ARTHUR KILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-2141
Country : US
Telephone Number : 718-315-5058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2010
Last Update Date : 03/01/2010

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