Individual
EBNE RAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3909 ORANGE PL STE 3100, BEACHWOOD, OH 44122-4481
(216) 358-1924
Mailing address
31 TACA BLVD, DEER PARK, NY 11729-3442
(631) 629-9100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03442161
OH
183500000X
Pharmacist
067070
NY
Other
Enumeration date
11/03/2020
Last updated
06/12/2023
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