Healthcare Provider Details
I. General information
NPI: 1811222748
Provider Name (Legal Business Name): RAN-CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2009
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
138 KAYEN CHANDO
DEDEDO GU
96929-5900
US
IV. Provider business mailing address
P.O. BOX 11864
TAMUNING GU
96931
US
V. Phone/Fax
- Phone: 671-632-6000
- Fax:
- Phone: 671-632-6000
- Fax: 671-632-9000
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
WILMA
E
RAMOS
Title or Position: PRESIDENT
Credential: ETC
Phone: 671-632-6000