Provider Demographics
NPI:1184258154
Name:CHAITOO RANGAYA, MARESHAH DIANNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARESHAH
Middle Name:DIANNE
Last Name:CHAITOO RANGAYA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30924 PRESTWICK XING
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5090
Mailing Address - Country:US
Mailing Address - Phone:216-502-1291
Mailing Address - Fax:
Practice Address - Street 1:30924 PRESTWICK XING
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5090
Practice Address - Country:US
Practice Address - Phone:216-502-1291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist