Provider Demographics
NPI:1902932312
Name:RANIERS PHARMACY
Entity Type:Organization
Organization Name:RANIERS PHARMACY
Other - Org Name:RANIER'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RANIER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-527-7788
Mailing Address - Street 1:1107 LOWRY AVE
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3030
Mailing Address - Country:US
Mailing Address - Phone:724-527-7788
Mailing Address - Fax:724-527-2767
Practice Address - Street 1:1107 LOWRY AVE
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3030
Practice Address - Country:US
Practice Address - Phone:724-527-7788
Practice Address - Fax:724-527-2767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP414753L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01412939Medicaid
2081822OtherPK
2081822OtherPK