Healthcare Provider Details

I. General information

NPI: 1780983387
Provider Name (Legal Business Name): VALERIE CHRISTINE RANEY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 03/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 S WOODS MILL RD
CHESTERFIELD MO
63017-3417
US

IV. Provider business mailing address

855 HILLCREST ST
COLUMBIA IL
62236-1923
US

V. Phone/Fax

Practice location:
  • Phone: 314-205-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number2010025219
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: