Healthcare Provider Details

I. General information

NPI: 1740890045
Provider Name (Legal Business Name): MANPREET RANGI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 W ALEX BELL RD
DAYTON OH
45459-1127
US

IV. Provider business mailing address

9465 EASTBROOK DR
MIAMISBURG OH
45342-7867
US

V. Phone/Fax

Practice location:
  • Phone: 937-294-7210
  • Fax:
Mailing address:
  • Phone: 918-250-4678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number060001776
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: