Rana Sameer Alahmedi

Individual provider Active NPI Pharmacist · Appleton, WI

NPI 1982202396 · NPPES record last updated Oct 16, 2020

Key facts

NPI
1982202396
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
19174-40 (WI)
Practice address
3701 E Calumet St
Appleton, WI 54915-4149
Phone
(920) 996-0746
Fax
(920) 996-0757
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
19174-40WIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19174-40 WI Yes

Addresses

Primary practice location

3701 E Calumet St
Appleton, WI 54915-4149

Mailing address

2606 Southwood Dr
Appleton, WI 54915-1438
Phone (414) 551-1487

Other providers in Appleton, WI

All providers in Appleton, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.