Individual
DR. RAGY S GERGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W PARKRIDGE AVE, CORONA, CA 92880-1450
(951) 278-1852
Mailing address
664 AVONDALE DR, CORONA, CA 92879-8556
(909) 395-7528
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
59000
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
59000
CA
1835P1200X
Pharmacotherapy Pharmacist
59000
CA
1835P1300X
Psychiatric Pharmacist
59000
CA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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