Healthcare Provider Details

I. General information

NPI: 1114473022
Provider Name (Legal Business Name): RIZA RANA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S ST
SACRAMENTO CA
95816-7101
US

IV. Provider business mailing address

7405 GREENBACK LN # 161
CITRUS HEIGHTS CA
95610-5653
US

V. Phone/Fax

Practice location:
  • Phone: 916-731-4470
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number74739
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: