MEDICARE: G & H RAPHA,LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1851699953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G & H RAPHA,LLC

Provider Business Mailing Address
First Line	:	18777 COLIMA RD
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2949
Country	:	US
Telephone Number	:	909-839-0001
Fax Number	:	626-474-2053

Provider Business Practice Location Address
First Line	:	18777 COLIMA RD
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2949
Country	:	US
Telephone Number	:	909-839-0001
Fax Number	:	626-474-2053

Authorized Official
Title or Position	:	MEMBER/PIC
Name	:	MRS. GRACE KWON
Credential	:	R.PH
Telephone Number	:	909-839-0001

Provider Enumeration Date	:	03/14/2011
Last Update Date	:	12/13/2023

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