Provider Demographics
NPI:1679042493
Name:RAZAI, NOORIA
Entity Type:Individual
Prefix:
First Name:NOORIA
Middle Name:
Last Name:RAZAI
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 1:5232 COVINGTON BEND DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-5636
Mailing Address - Country:US
Mailing Address - Phone:919-793-4831
Mailing Address - Fax:
Practice Address - Street 1:4841 GROVE BARTON RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1900
Practice Address - Country:US
Practice Address - Phone:919-785-0335
Practice Address - Fax:919-714-8878
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist