Provider Demographics
NPI:1225261639
Name:ARAFAT, DALIA (RPH)
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:ARAFAT
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 1:7405 SHAHEEN CT NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2464
Mailing Address - Country:US
Mailing Address - Phone:505-823-6364
Mailing Address - Fax:505-217-9913
Practice Address - Street 1:5201 CENTRAL AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1328
Practice Address - Country:US
Practice Address - Phone:505-217-9907
Practice Address - Fax:505-217-9913
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007102183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist