Provider Demographics
NPI:1508153495
Name:RAGUS, OLIVIA R (RPH)
Entity Type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:R
Last Name:RAGUS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 SUGAR ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-5201
Mailing Address - Country:US
Mailing Address - Phone:661-837-2199
Mailing Address - Fax:661-837-1262
Practice Address - Street 1:2711 SUGAR ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-5201
Practice Address - Country:US
Practice Address - Phone:661-837-2199
Practice Address - Fax:661-837-1262
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45488183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist