Provider Demographics
NPI:1821524679
Name:RANA, SHWETA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHWETA
Middle Name:
Last Name:RANA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8871 NW 103RD PL
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4702
Mailing Address - Country:US
Mailing Address - Phone:954-378-8335
Mailing Address - Fax:
Practice Address - Street 1:20201 SW 127TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-5119
Practice Address - Country:US
Practice Address - Phone:305-234-6302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55357183500000X
TX55098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist