MEDICARE: RANG INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH21647	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2005438	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811910888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANG INC

Provider Business Mailing Address
First Line	:	810 S FORT HARRISON AVE
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3902
Country	:	US
Telephone Number	:	727-446-4047
Fax Number	:	727-446-4132

Provider Business Practice Location Address
First Line	:	810 S FORT HARRISON AVE
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3902
Country	:	US
Telephone Number	:	727-446-4047
Fax Number	:	727-446-4132

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	ARVIND PATEL
Credential	:	PHARM.D.
Telephone Number	:	727-446-4047

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	02/25/2016

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