Provider Demographics
NPI:1376856476
Name:ARRAGG, GEORGE M II (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:M
Last Name:ARRAGG
Suffix:II
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-0027
Mailing Address - Country:US
Mailing Address - Phone:323-722-0648
Mailing Address - Fax:
Practice Address - Street 1:330 E OAKMONT DR
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-2776
Practice Address - Country:US
Practice Address - Phone:323-722-0648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-17
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA19827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist