Raji N Revan

NPI #1992082093 in Centerville, Ohio

Provider Information

NPI Number: 1992082093
Entity Type: Individual
Name: Raji N Revan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2011
Last Updated: Nov 3, 2011

Practice Location

Address: 1402 MIAMISBURG CENTERVILLE RD
City: Centerville
State: Ohio
ZIP Code: 45459-3802
Phone: (937) 291-2741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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