Provider Demographics
NPI:1568250967
Name:ALISA, RANA SALEM-SAID
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:SALEM-SAID
Last Name:ALISA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9305 MISSION GORGE RD
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-3815
Mailing Address - Country:US
Mailing Address - Phone:619-258-8011
Mailing Address - Fax:619-258-8026
Practice Address - Street 1:9305 MISSION GORGE RD
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-3815
Practice Address - Country:US
Practice Address - Phone:619-258-8011
Practice Address - Fax:619-258-8026
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist