Provider Demographics
NPI:1013291327
Name:RANIER'S RX LABORATORY, INC.
Entity Type:Organization
Organization Name:RANIER'S RX LABORATORY, INC.
Other - Org Name:RANIER'S RX LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-527-1802
Mailing Address - Street 1:1107 LOWRY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3030
Mailing Address - Country:US
Mailing Address - Phone:724-527-3633
Mailing Address - Fax:724-527-2581
Practice Address - Street 1:1107 LOWRY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3030
Practice Address - Country:US
Practice Address - Phone:724-527-3633
Practice Address - Fax:724-527-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4821483336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3996088OtherNCPDP PROVIDER IDENTIFICATION NUMBER