Organization
RAFIQ LTD LLC
Active
Other names
Carmichael Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAIRA RAFIQ (MANAGER / PIC)
(916) 436-4731
Entity
Organization
Contact information
Practice address
6633 COYLE AVE STE 1, CARMICHAEL, CA 95608-6346
(916) 436-4731
(916) 436-4958
Mailing address
6633 COYLE AVE, STE 1, CARMICHAEL, CA 95608-6346
(916) 436-4731
(916) 436-4958
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156197
PK
—
Enumeration date
12/23/2015
Last updated
04/14/2019
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