Provider Demographics
NPI:1558619478
Name:RPH ON THE GO
Entity Type:Organization
Organization Name:RPH ON THE GO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NASRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKBARLOYSHABGAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-225-8303
Mailing Address - Street 1:172 6TH ST E
Mailing Address - Street 2:APT 704
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-1993
Mailing Address - Country:US
Mailing Address - Phone:651-225-8303
Mailing Address - Fax:
Practice Address - Street 1:172 E 6TH STREET
Practice Address - Street 2:704
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101
Practice Address - Country:US
Practice Address - Phone:651-225-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health