Provider Demographics
NPI:1235745738
Name:EL-TERAIFI, RANA M (BSC PHARMACY)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:M
Last Name:EL-TERAIFI
Suffix:
Gender:F
Credentials:BSC PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 MERRIWEATHER CT
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-1661
Mailing Address - Country:US
Mailing Address - Phone:734-709-4128
Mailing Address - Fax:
Practice Address - Street 1:1342 MERRIWEATHER CT
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-1661
Practice Address - Country:US
Practice Address - Phone:734-709-4128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-20
Last Update Date:2020-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042285183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist