Provider Demographics
NPI:1518245372
Name:BARRAGAN, ARTHUR XAVIER JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:XAVIER
Last Name:BARRAGAN
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ARTURO
Other - Middle Name:XAVIER
Other - Last Name:BARRAGAN
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4394 CLAVELE CT
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-2198
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4394 CLAVELE CT
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-2198
Practice Address - Country:US
Practice Address - Phone:213-675-0396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist