MEDICARE: RANI SHEN

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	20223	IA

General Provider Information

NPI Number	:	1356306435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANI SHEN

Provider Business Mailing Address
First Line	:	617 8TH AVE SE STE C
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2117
Country	:	US
Telephone Number	:	319-365-0444
Fax Number	:	319-365-1089

Provider Business Practice Location Address
First Line	:	617 8TH AVE SE STE C
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2117
Country	:	US
Telephone Number	:	319-365-0444
Fax Number	:

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	06/20/2023

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Directions to “ RANI SHEN ” Practice Location

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