Provider Demographics
NPI:1790399962
Name:BEQI, REFAELA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REFAELA
Middle Name:
Last Name:BEQI
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 1:8234 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-3828
Mailing Address - Country:US
Mailing Address - Phone:586-718-9992
Mailing Address - Fax:
Practice Address - Street 1:27050 JOHN R RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3326
Practice Address - Country:US
Practice Address - Phone:248-547-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist