Provider Demographics
NPI:1184907388
Name:VRANESH, DEBORAH ANN (RPH)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:VRANESH
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 1:7205 MILLS CIVIC PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8140
Mailing Address - Country:US
Mailing Address - Phone:515-222-2948
Mailing Address - Fax:515-222-2945
Practice Address - Street 1:7205 MILLS CIVIC PKWY
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8140
Practice Address - Country:US
Practice Address - Phone:515-222-2948
Practice Address - Fax:515-222-2945
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16353183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist