Provider Demographics
NPI:1306275540
Name:MAGAMBO, RAMONA ELIZABETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:ELIZABETH
Last Name:MAGAMBO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:RAMONA
Other - Last Name:MAGAMBO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1675 W 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3814
Mailing Address - Country:US
Mailing Address - Phone:541-485-0427
Mailing Address - Fax:541-485-1484
Practice Address - Street 1:1675 W 18TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3814
Practice Address - Country:US
Practice Address - Phone:541-485-0427
Practice Address - Fax:541-485-1484
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0011340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist