Provider Demographics
NPI:1689822520
Name:TRIPURANENI, RAMA C (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RAMA
Middle Name:C
Last Name:TRIPURANENI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 WILLINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7476
Mailing Address - Country:US
Mailing Address - Phone:919-995-4039
Mailing Address - Fax:919-439-4493
Practice Address - Street 1:1311 W NC HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5505
Practice Address - Country:US
Practice Address - Phone:919-489-5814
Practice Address - Fax:919-439-4493
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17825183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist