Provider Demographics
NPI:1760656466
Name:NATAFJI, REEM M (PHARM D)
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:M
Last Name:NATAFJI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 N FARWELL AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-1793
Mailing Address - Country:US
Mailing Address - Phone:414-225-4478
Mailing Address - Fax:414-225-4476
Practice Address - Street 1:1845 N FARWELL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-1793
Practice Address - Country:US
Practice Address - Phone:414-225-4478
Practice Address - Fax:414-225-4476
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13172-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist