MEDICARE: RAYMOND SGARAGLI

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
1	183500000X	Pharmacist	PH17827	MA

General Provider Information

NPI Number	:	1770179434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND SGARAGLI

Provider Business Mailing Address
First Line	:	822 MAIN ST
Second Line	:
City	:	WAREHAM
State	:	MA
Zip	:	02571-1038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 SUMMER ST
Second Line	:
City	:	KINGSTON
State	:	MA
Zip	:	02364-1226
Country	:	US
Telephone Number	:	781-582-3703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2020
Last Update Date	:	12/17/2020

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Directions to “ RAYMOND SGARAGLI ” Practice Location

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