Provider Demographics
NPI:1740334218
Name:FIGUEROA, RAFAEL R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:R
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5339 VIA DOLORES
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-6874
Mailing Address - Country:US
Mailing Address - Phone:805-376-0588
Mailing Address - Fax:
Practice Address - Street 1:16928 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4124
Practice Address - Country:US
Practice Address - Phone:818-788-0635
Practice Address - Fax:818-386-0688
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH42850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist