Provider Demographics
NPI:1851422778
Name:HAMMOURI, RAWAN A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RAWAN
Middle Name:A
Last Name:HAMMOURI
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 1:14727 N 98TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3820
Mailing Address - Country:US
Mailing Address - Phone:480-275-8431
Mailing Address - Fax:480-994-4359
Practice Address - Street 1:7628 E INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3608
Practice Address - Country:US
Practice Address - Phone:480-994-0212
Practice Address - Fax:480-994-4359
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist