| Doctor Name: | MR. PAUL R RASA |
| NPI Number: | 1477534071 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH CCP |
| License Number: | 28RI01445600 |
| Business Practice Address: | 55 Skyline Dr Suite 209 Ringwood, NJ - 074562037 |
| Business Phone Number: | 9737285800 |
| Business Fax Number: | 9737287070 |
| Mailing Address: | 4348 Rubery Dr, CARROLLTON |
| State: | TX |
| Postal Code: | 750101148 |
| Phone Number: | 9737227272 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835N1003X |
| License Number: | 28RI01445600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Nutrition Support |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |