Jean J Ra | San Francisco, CA • PECOS Search

Jean J Ra

Pharmacist

Pharmacy Service Providers

500 Parnassus Ave, San Francisco, CA 94143-2203

(415) 681-3394 (240) 317-7393

PECOS Enrollment

Based on the most recent information from CMS, provider Jean J Ra does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528570124
Provider Type
Individual
Full Name
Ra, Jean J
Title
Dr.
Credential
PHARMD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/4/2017
Last Updated
11/4/2017

Contact Information

Practice Location

500 Parnassus Ave, San Francisco, CA 94143-2203

Unlisted Fax

Mailing Location

330 Parnassus Ave Apt 103, San Francisco, CA 94117-3735

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 77874 California