Provider Demographics
NPI:1902226749
Name:FRAIJ, RASHID
Entity Type:Individual
Prefix:MR
First Name:RASHID
Middle Name:
Last Name:FRAIJ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 FAIRWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-2162
Mailing Address - Country:US
Mailing Address - Phone:803-782-8428
Mailing Address - Fax:803-782-1726
Practice Address - Street 1:907 FAIRWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-2162
Practice Address - Country:US
Practice Address - Phone:803-782-8428
Practice Address - Fax:803-782-1726
Is Sole Proprietor?:No
Enumeration Date:2014-04-20
Last Update Date:2014-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist