Provider Demographics
NPI:1487419016
Name:DHAMI, RAUNIQ (RPH)
Entity type:Individual
Prefix:
First Name:RAUNIQ
Middle Name:
Last Name:DHAMI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1609
Mailing Address - Country:US
Mailing Address - Phone:313-510-7462
Mailing Address - Fax:
Practice Address - Street 1:270 BUSSEY ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2544
Practice Address - Country:US
Practice Address - Phone:781-407-0845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH1000160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist