Provider Demographics
NPI:1205118908
Name:RANKIN, DAVID YOUNG (PHARMD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:YOUNG
Last Name:RANKIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13390 POWAY RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4626
Mailing Address - Country:US
Mailing Address - Phone:858-435-7580
Mailing Address - Fax:858-435-7586
Practice Address - Street 1:13390 POWAY RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4626
Practice Address - Country:US
Practice Address - Phone:858-435-7580
Practice Address - Fax:858-435-7586
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55119183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist