Provider Demographics
NPI:1265554448
Name:HAMID, RASAIEL (RPH)
Entity type:Individual
Prefix:MRS
First Name:RASAIEL
Middle Name:
Last Name:HAMID
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 1:12938 BROME WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3573
Mailing Address - Country:US
Mailing Address - Phone:858-538-1791
Mailing Address - Fax:858-780-9370
Practice Address - Street 1:RITE AID PHARMACY
Practice Address - Street 2:955 TAMARACK AVE.
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008
Practice Address - Country:US
Practice Address - Phone:760-729-4877
Practice Address - Fax:760-729-7696
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist