Provider Demographics
NPI:1972916708
Name:RAOOFI, ARASH (RPH)
Entity Type:Individual
Prefix:MR
First Name:ARASH
Middle Name:
Last Name:RAOOFI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 MICHIGAN AVE E
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-6292
Mailing Address - Country:US
Mailing Address - Phone:269-660-9509
Mailing Address - Fax:
Practice Address - Street 1:890 MICHIGAN AVE E
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-6292
Practice Address - Country:US
Practice Address - Phone:269-660-9509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032003183500000X
OH03126067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist