Provider Demographics
NPI:1710396411
Name:DAWIT, RAHEL S (PHARMD)
Entity Type:Individual
Prefix:
First Name:RAHEL
Middle Name:S
Last Name:DAWIT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5077 DULUTH CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-6449
Mailing Address - Country:US
Mailing Address - Phone:720-339-1852
Mailing Address - Fax:
Practice Address - Street 1:5077 DULUTH CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-6449
Practice Address - Country:US
Practice Address - Phone:720-339-1852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist