Provider Demographics
NPI:1649864463
Name:RANA, KESSEE E JUSTICE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KESSEE
Middle Name:E JUSTICE
Last Name:RANA
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 1:29300 CASTLEHILL DR
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4431
Mailing Address - Country:US
Mailing Address - Phone:949-338-5280
Mailing Address - Fax:
Practice Address - Street 1:22968 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1634
Practice Address - Country:US
Practice Address - Phone:818-887-7350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist