Provider Demographics
NPI:1710597158
Name:RAFI, MUHADIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MUHADIA
Middle Name:
Last Name:RAFI
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 1:2413 FLORIAN ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3411
Mailing Address - Country:US
Mailing Address - Phone:313-878-2963
Mailing Address - Fax:
Practice Address - Street 1:40 E ALEXANDRINE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2012
Practice Address - Country:US
Practice Address - Phone:313-832-2050
Practice Address - Fax:313-832-2141
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist