KATHLEEN S. RAWE
Medical Equipment Supplier Yellow Pages
Modesto, California
Provider NPI: 1033107438
Organization Information:Organization Name: KATHLEEN S. RAWE
Practice Location:
2020 COFFEE RD SUITE C2 MODESTO, CA 95355 US
Tel: 209-522-3367 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2020 COFFEE RD SUITE C2 MODESTO, CA 95355 US
Tel: 209-522-3367 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | CA | PHY38267 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA382670 | CA | 05 | |
NABP OR NCPDP | 0530976 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin