Provider Demographics
NPI:1043837545
Name:VERMA, RAHUL R (PHARMD)
Entity Type:Individual
Prefix:
First Name:RAHUL
Middle Name:R
Last Name:VERMA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 INGERSOLL AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-3332
Mailing Address - Country:US
Mailing Address - Phone:515-657-8896
Mailing Address - Fax:515-657-8897
Practice Address - Street 1:1704 INGERSOLL AVE STE 102
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-3332
Practice Address - Country:US
Practice Address - Phone:515-657-8896
Practice Address - Fax:515-657-8897
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23140183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist