Provider Demographics
NPI:1750960480
Name:RAFLA, PIERRE
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:
Last Name:RAFLA
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 1:7551 W HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4103
Mailing Address - Country:US
Mailing Address - Phone:813-462-2777
Mailing Address - Fax:813-462-2777
Practice Address - Street 1:7551 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4103
Practice Address - Country:US
Practice Address - Phone:813-462-2777
Practice Address - Fax:813-462-2777
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57383183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist