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NPI Code Detail

MEDICARE: MRS. RANIA RIZKALLA

MEDICARE: MRS. RANIA RIZKALLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist020256KY

General Provider Information

NPI Number : 1154933190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RANIA RIZKALLA
Provider Business Mailing Address
First Line : 1001 W MAIN ST
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1119
Country : US
Telephone Number : 270-651-0471
Fax Number : 270-659-0147
Provider Business Practice Location Address
First Line : 1001 W MAIN ST
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1119
Country : US
Telephone Number : 270-651-0471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2020
Last Update Date : 08/20/2020

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Directions to “ MRS. RANIA RIZKALLA ” Practice Location

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