Provider Demographics
NPI:1598102485
Name:HAMAD, RIBHI A (RPH 41407)
Entity Type:Individual
Prefix:
First Name:RIBHI
Middle Name:A
Last Name:HAMAD
Suffix:
Gender:M
Credentials:RPH 41407
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5014 WESTMONT ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-7707
Mailing Address - Country:US
Mailing Address - Phone:951-836-1688
Mailing Address - Fax:
Practice Address - Street 1:1181 N SATE ST
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583
Practice Address - Country:US
Practice Address - Phone:951-487-3810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist