Provider Demographics
NPI:1710604335
Name:FATTOUHI, RAND JAMIL (RPH)
Entity Type:Individual
Prefix:DR
First Name:RAND
Middle Name:JAMIL
Last Name:FATTOUHI
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 1:549 GRAVES AVE UNIT 8
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3629
Mailing Address - Country:US
Mailing Address - Phone:619-792-5909
Mailing Address - Fax:
Practice Address - Street 1:790 JAMACHA RD
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-3201
Practice Address - Country:US
Practice Address - Phone:619-442-9439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85398183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist