MEDICARE: RANA SUBAITY

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	86335	CA

General Provider Information

NPI Number	:	1881316685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANA SUBAITY

Provider Business Mailing Address
First Line	:	8351 ELK GROVE FLORIN RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95829-9453
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8351 ELK GROVE FLORIN RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95829-9453
Country	:	US
Telephone Number	:	916-829-6193
Fax Number	:

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

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	09/19/2022

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Directions to “ RANA SUBAITY ” Practice Location

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