MEDICARE: RAJ LUNAGARIA INC.

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	44144	CA
2	3336L0003X	Long Term Care Pharmacy
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821014309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAJ LUNAGARIA INC.

Provider Business Mailing Address
First Line	:	1222 W 5TH ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92411-2759
Country	:	US
Telephone Number	:	909-884-0128
Fax Number	:	909-381-8326

Provider Business Practice Location Address
First Line	:	1222 W 5TH ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92411-2759
Country	:	US
Telephone Number	:	909-884-0128
Fax Number	:	909-381-8326

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RAJ LUNAGARIA
Credential	:
Telephone Number	:	909-884-0128

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	06/22/2020

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