Provider Demographics
NPI:1750308417
Name:KALPOKAS, RAMONA VIRGINIA (RPH)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:VIRGINIA
Last Name:KALPOKAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:RAMONA
Other - Middle Name:VIRGINIA
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:4054 RAINTREE CT
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-4646
Mailing Address - Country:US
Mailing Address - Phone:706-868-1334
Mailing Address - Fax:
Practice Address - Street 1:1 FREEDOM WAY
Practice Address - Street 2:114U
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-6258
Practice Address - Country:US
Practice Address - Phone:706-733-0188
Practice Address - Fax:706-481-6791
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH014098183500000X
WAPH0010007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist