Provider Demographics
NPI:1538705587
Name:SAADALLAH, RANI (PHARMD)
Entity Type:Individual
Prefix:
First Name:RANI
Middle Name:
Last Name:SAADALLAH
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 1:27060 ARDEN PARK CIR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-5303
Mailing Address - Country:US
Mailing Address - Phone:248-722-4479
Mailing Address - Fax:
Practice Address - Street 1:10951 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-2152
Practice Address - Country:US
Practice Address - Phone:248-779-6480
Practice Address - Fax:248-779-6482
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist