Individual
RANDA RAAFAT RIAD ESTAWROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
22626 NE INGELWOOD HILL RD APT 322, SAMMAMISH, WA 98074-5006
(714) 733-9380
Mailing address
22626 NE INGELWOOD HILL RD APT 322, SAMMAMISH, WA 98074-5006
(714) 733-9380
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH60755523
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ESTAWRR148L7
WASHINGTON STATE
WA
Enumeration date
08/01/2017
Last updated
08/01/2017
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