Provider Demographics
NPI:1932262938
Name:REHMAT, NAZIR C (RPH)
Entity Type:Individual
Prefix:MR
First Name:NAZIR
Middle Name:C
Last Name:REHMAT
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 1:1107 1ST AVE #1706
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2947
Mailing Address - Country:US
Mailing Address - Phone:206-624-1454
Mailing Address - Fax:206-624-6377
Practice Address - Street 1:1107 1ST AVE #1706
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2947
Practice Address - Country:US
Practice Address - Phone:206-624-1454
Practice Address - Fax:206-624-6377
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PH00011148OtherPHARMACIST LICENSE#