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Johnny Rau

Pharmacist

Pharmacy Service Providers

505 Parnassus Ave, M-39c, San Francisco, CA 94143-2204

(415) 353-1154

PECOS Enrollment

Based on the most recent information from CMS, provider Johnny Rau 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
1942667126
Provider Type
Individual
Full Name
Rau, Johnny
Credential
PHARM.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
1/19/2016
Last Updated
1/19/2016

Contact Information

Practice Location

505 Parnassus Ave, M-39c, San Francisco, CA 94143-2204

(415) 353-1154

Unlisted Fax

Mailing Location

41 Ascension, Irvine, CA 92612-3275

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 68988 California
Code 1835P1200X	Description Pharmacist Pharmacy Service Providers	License 3141199F California

Johnny Rau

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Trillanes, Michael Romeo

Hsia, Stephanie Lynn

Bainbridge, Claire

Japs, Kelsey

Chu, Annette

Chen, Iris

Graff, Larissa Retta

Tieu, Julie

Nowicki, Kathie Emily

Noori Nassr, Neda