Provider Demographics
NPI:1427889641
Name:RAMADANI, ILIRIANA (PHARMD)
Entity type:Individual
Prefix:
First Name:ILIRIANA
Middle Name:
Last Name:RAMADANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 COUNTY HIGHWAY 344
Mailing Address - Street 2:
Mailing Address - City:HAYTI
Mailing Address - State:MO
Mailing Address - Zip Code:63851-9353
Mailing Address - Country:US
Mailing Address - Phone:870-378-0022
Mailing Address - Fax:
Practice Address - Street 1:108 E HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5940
Practice Address - Country:US
Practice Address - Phone:870-802-3749
Practice Address - Fax:870-802-2372
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD17078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist