Ralna Fan-Agutos

NPI 1497037170 · on the registry since 2011 · sole proprietor

Practice

Address: 2800 Independence Dr
Livermore, CA 94551
Phone: (925) 443-6783
Fax: (925) 443-7225
Organisation at this address: Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California