MEDICARE: EVELYN ONG RAGASA PHARM.D.

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	059716	NY

General Provider Information

NPI Number	:	1972907400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN ONG RAGASA PHARM.D.

Provider Business Mailing Address
First Line	:	901 E GUN HILL RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-3707
Country	:	US
Telephone Number	:	718-231-6677
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 E GUN HILL RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-3707
Country	:	US
Telephone Number	:	718-231-6677
Fax Number	:

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

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	11/19/2019

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