Provider Demographics
NPI:1043581473
Name:RATKA, ANNA (PHARMD, PHD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:RATKA
Suffix:
Gender:F
Credentials:PHARMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8013 ROCK CREST DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-5994
Mailing Address - Country:US
Mailing Address - Phone:361-991-0136
Mailing Address - Fax:
Practice Address - Street 1:922 E KING AVENUE
Practice Address - Street 2:WALGREENS
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-5867
Practice Address - Country:US
Practice Address - Phone:361-221-9714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist