Provider Demographics
NPI:1518542596
Name:BEYDOUN, RANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:BEYDOUN
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 1:13661 COLSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3232
Mailing Address - Country:US
Mailing Address - Phone:313-581-8801
Mailing Address - Fax:
Practice Address - Street 1:13661 COLSON ST STE A
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3232
Practice Address - Country:US
Practice Address - Phone:313-581-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302046321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist