Provider Demographics
NPI:1346547890
Name:DAAS, RANA
Entity Type:Individual
Prefix:MRS
First Name:RANA
Middle Name:
Last Name:DAAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 BRANCHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7739
Mailing Address - Country:US
Mailing Address - Phone:803-678-4887
Mailing Address - Fax:
Practice Address - Street 1:2725 CLEMSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8034
Practice Address - Country:US
Practice Address - Phone:803-678-4887
Practice Address - Fax:803-678-4893
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist