Provider Demographics
NPI:1790316693
Name:WEERAKOON-WIJERATNE, ANUKI RUKSHANI
Entity Type:Individual
Prefix:
First Name:ANUKI
Middle Name:RUKSHANI
Last Name:WEERAKOON-WIJERATNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANUKI
Other - Middle Name:RUKSHANI
Other - Last Name:WIJERATNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5531 MANGROVE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3770
Mailing Address - Country:US
Mailing Address - Phone:832-451-8855
Mailing Address - Fax:
Practice Address - Street 1:16605 SOUTHWEST FWY MOB3, STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-908-0293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician