Provider Demographics
NPI:1649879933
Name:RASCHKE, DEBORAH WONG (RPH)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:WONG
Last Name:RASCHKE
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 1:12222 JONES RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5283
Mailing Address - Country:US
Mailing Address - Phone:832-912-7578
Mailing Address - Fax:832-912-7527
Practice Address - Street 1:12222 JONES RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5283
Practice Address - Country:US
Practice Address - Phone:832-912-7578
Practice Address - Fax:832-912-7527
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX381051835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty