Provider Demographics
NPI:1710747522
Name:ALKHOURI, RANA (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:ALKHOURI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6070 SINGLETREE LN
Mailing Address - Street 2:
Mailing Address - City:JAMESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13078-9588
Mailing Address - Country:US
Mailing Address - Phone:315-706-6960
Mailing Address - Fax:
Practice Address - Street 1:6070 SINGLETREE LN
Practice Address - Street 2:
Practice Address - City:JAMESVILLE
Practice Address - State:NY
Practice Address - Zip Code:13078-9588
Practice Address - Country:US
Practice Address - Phone:315-706-6960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist