Provider Demographics
NPI:1912157348
Name:TAMRAKAR, RAJENDRA K (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAJENDRA
Middle Name:K
Last Name:TAMRAKAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:RAJENDRA
Other - Middle Name:K
Other - Last Name:TAMRAKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:403 CHURCHILL CIR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-7942
Mailing Address - Country:US
Mailing Address - Phone:803-226-0044
Mailing Address - Fax:
Practice Address - Street 1:403 CHURCHILL CIR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-7942
Practice Address - Country:US
Practice Address - Phone:803-226-0044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10467183500000X
GA23553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist