Provider Demographics
NPI:1558640243
Name:RANKER, GIGI J (PHARM D)
Entity Type:Individual
Prefix:
First Name:GIGI
Middle Name:J
Last Name:RANKER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BRILLIANT SKY DR
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-1320
Mailing Address - Country:US
Mailing Address - Phone:505-474-0523
Mailing Address - Fax:505-474-0523
Practice Address - Street 1:525 W ZIA RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-6910
Practice Address - Country:US
Practice Address - Phone:505-820-2196
Practice Address - Fax:505-820-2219
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006899183500000X
MD15891183500000X
CARPH 54424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist