Organization
IMRAN PHARMACY
Active
Other names
IMRAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REHAN RANA (PIC)
(731) 730-2092
Entity
Organization
Contact information
Practice address
3737 N KINGSHIGHWAY BLVD, STE 100, SAINT LOUIS, MO 63115-1736
(314) 381-9394
(314) 381-8833
Mailing address
3737 N KINGSHIGHWAY BLVD, STE 100, SAINT LOUIS, MO 63115-1736
(314) 381-9394
(314) 381-8833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5995
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630780
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
608291001A
—
MO
Enumeration date
12/26/2006
Last updated
03/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us