Provider Demographics
NPI:1811222748
Name:RAN-CARE, INC.
Entity Type:Organization
Organization Name:RAN-CARE, INC.
Other - Org Name:EXPRESS MED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILMA
Authorized Official - Middle Name:E
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:671-632-6000
Mailing Address - Street 1:P.O. BOX 11864
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931
Mailing Address - Country:US
Mailing Address - Phone:671-632-6000
Mailing Address - Fax:671-632-9000
Practice Address - Street 1:136 KAYEN CHANDO
Practice Address - Street 2:
Practice Address - City:DEDEDO
Practice Address - State:GU
Practice Address - Zip Code:96929
Practice Address - Country:US
Practice Address - Phone:671-632-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUPCY048333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy