Provider Demographics
NPI:1407141104
Name:RANKIN, MEETA SAMANT (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MEETA
Middle Name:SAMANT
Last Name:RANKIN
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 1:6717 RITCHIE HWY
Mailing Address - Street 2:T-1938
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-2318
Mailing Address - Country:US
Mailing Address - Phone:410-487-0039
Mailing Address - Fax:410-487-0039
Practice Address - Street 1:6717 RITCHIE HWY
Practice Address - Street 2:T-1938
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2318
Practice Address - Country:US
Practice Address - Phone:410-487-0039
Practice Address - Fax:410-487-0039
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist