MEDICARE: MR. RAMPRAKASH NARAYANA M.S PHARM

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
1	183500000X	Pharmacist	5302033745	MI

General Provider Information

NPI Number	:	1275734600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAMPRAKASH NARAYANA M.S PHARM

Provider Business Mailing Address
First Line	:	407 SPRINGFIELD DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-1967
Country	:	US
Telephone Number	:	734-398-9988
Fax Number	:	734-458-7942

Provider Business Practice Location Address
First Line	:	33251 PLYMOUTH RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1738
Country	:	US
Telephone Number	:	734-425-9721
Fax Number	:	734-458-7942

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/08/2007

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