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NPI Code Detail

MEDICARE: IRINA RATNIKOVA RPH

MEDICARE:   IRINA  RATNIKOVA  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
1183500000XPharmacistRPH 52462CA

General Provider Information

NPI Number : 1851656805
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRINA RATNIKOVA RPH
Provider Business Mailing Address
First Line : 11665 ASPEN VIEW DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-5274
Country : US
Telephone Number : 858-774-2164
Fax Number :
Provider Business Practice Location Address
First Line : 15721 BERNARDO HEIGHTS PKWY
Second Line : STE.L
City : SAN DIEGO
State : CA
Zip : 92128-3176
Country : US
Telephone Number : 858-451-2611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2012
Last Update Date : 07/05/2012

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Directions to “ IRINA RATNIKOVA RPH” Practice Location

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