Healthcare Provider Details

I. General information

NPI: 1417868951
Provider Name (Legal Business Name): RANIA CHADID PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RANIA CHDID PHARMD

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3255 OWEN RD
FENTON MI
48430-1755
US

IV. Provider business mailing address

3255 OWEN RD
FENTON MI
48430-1755
US

V. Phone/Fax

Practice location:
  • Phone: 810-714-2406
  • Fax: 810-354-9094
Mailing address:
  • Phone: 810-714-2406
  • Fax: 810-354-9094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302419280
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: