Healthcare Provider Details

I. General information

NPI: 1326650581
Provider Name (Legal Business Name): RANA BEJJANI PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MONTGOMERY ST
SAN FRANCISCO CA
94104-1902
US

IV. Provider business mailing address

300 MONTGOMERY ST
SAN FRANCISCO CA
94104-1902
US

V. Phone/Fax

Practice location:
  • Phone: 415-788-2981
  • Fax: 415-788-2017
Mailing address:
  • Phone: 415-788-2981
  • Fax: 415-788-2017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80606
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: