Provider Demographics
NPI:1861774267
Name:DESAI, RANNA D (RPH)
Entity type:Individual
Prefix:MRS
First Name:RANNA
Middle Name:D
Last Name:DESAI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 BRACKENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9568
Mailing Address - Country:US
Mailing Address - Phone:302-234-5710
Mailing Address - Fax:302-234-5715
Practice Address - Street 1:2012 BRACKENVILLE RD
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9568
Practice Address - Country:US
Practice Address - Phone:302-234-5710
Practice Address - Fax:302-234-5715
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist