Provider Demographics
NPI:1780662841
Name:SUBHANI, RIFFAT SUMERA (RPH, MBA)
Entity Type:Individual
Prefix:MRS
First Name:RIFFAT
Middle Name:SUMERA
Last Name:SUBHANI
Suffix:
Gender:F
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 EAGLES RDG
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-8271
Mailing Address - Country:US
Mailing Address - Phone:770-777-9281
Mailing Address - Fax:
Practice Address - Street 1:4830 HIGHWAY 9 N
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-2975
Practice Address - Country:US
Practice Address - Phone:770-777-0589
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021935183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist