Raymond Purnomo, - Pharmacist in Denton, TX

Raymond Purnomo, is a Pharmacist based in Denton, Texas. Raymond Purnomo is licensed to practice in Texas (license number 45827) and his current practice location is 3305 S Mayhill Rd Ste 101, Denton, Texas. He can be reached at his office (for appointments etc.) via phone at (940) 382-0079.

NPI number for Raymond Purnomo is 1780151894 and his current mailing address is 3126 Impala Trl, Frisco, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780151894.

Contact Information

Raymond Purnomo,
3305 S Mayhill Rd Ste 101,
Denton, TX 76208-6054
(940) 382-0079
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameRaymond Purnomo
GenderMale
SpecialityPharmacist
Location3305 S Mayhill Rd Ste 101, Denton, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780151894
  • Provider Enumeration Date: 10/26/2018
  • Last Update Date: 10/26/2018

Medical Identifiers

Medical identifiers for Raymond Purnomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780151894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 45827 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raymond Purnomo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Raymond Purnomo,
3126 Impala Trl,
Frisco, TX 75034-6219

Ph: () -
Raymond Purnomo,
3305 S Mayhill Rd Ste 101,
Denton, TX 76208-6054

Ph: (940) 382-0079

Reviews and Comments


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