Provider Demographics
NPI:1578374419
Name:HENEN, RANIA ISHAK (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:RANIA
Middle Name:ISHAK
Last Name:HENEN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 COLBURN RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1102
Mailing Address - Country:US
Mailing Address - Phone:551-232-1579
Mailing Address - Fax:
Practice Address - Street 1:11 COLBURN RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1102
Practice Address - Country:US
Practice Address - Phone:551-232-1579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04420400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist