Individual
RAFAL SHEHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
144 SW 20TH ST, PENDLETON, OR 97801-1804
(541) 278-5121
Mailing address
7822 NE 24TH CT, VANCOUVER, WA 98665-1137
(360) 433-8784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017127
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SHEHARK099Q5
WASHINGTON DRIVER LICENSE
WA
Enumeration date
03/12/2019
Last updated
03/12/2019
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