Provider Demographics
NPI:1063011385
Name:REHMAN, REHANA RIZWAN UR (RPH)
Entity Type:Individual
Prefix:
First Name:REHANA
Middle Name:RIZWAN UR
Last Name:REHMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 KILDAIRE FARM RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5524
Mailing Address - Country:US
Mailing Address - Phone:919-388-4454
Mailing Address - Fax:
Practice Address - Street 1:1210 KILDAIRE FARM RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5524
Practice Address - Country:US
Practice Address - Phone:919-388-4454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist