Provider Demographics
NPI:1003988056
Name:BERA, RANJAN RAJESH (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RANJAN
Middle Name:RAJESH
Last Name:BERA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7819 SANCTUARY DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-5949
Mailing Address - Country:US
Mailing Address - Phone:951-277-7839
Mailing Address - Fax:
Practice Address - Street 1:7819 SANCTUARY DR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-5949
Practice Address - Country:US
Practice Address - Phone:951-277-7839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH39640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist