Provider Demographics
NPI:1992018196
Name:KEYS, RAJEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAJEEN
Middle Name:
Last Name:KEYS
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 1:3181 CREEK TRCE W
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-3364
Mailing Address - Country:US
Mailing Address - Phone:678-567-1848
Mailing Address - Fax:770-949-9633
Practice Address - Street 1:5864 FAIRBURN RD
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-2301
Practice Address - Country:US
Practice Address - Phone:770-949-9307
Practice Address - Fax:770-949-9633
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist