Provider Demographics
NPI:1285247999
Name:ABDUL RAUF, SABYA (PHARMD)
Entity type:Individual
Prefix:
First Name:SABYA
Middle Name:
Last Name:ABDUL RAUF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 FERRY ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-5608
Mailing Address - Country:US
Mailing Address - Phone:617-389-2188
Mailing Address - Fax:
Practice Address - Street 1:317 FERRY ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-5608
Practice Address - Country:US
Practice Address - Phone:617-389-2188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH239019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist