Provider Demographics
NPI:1588106694
Name:RAYES, RAFI (PHARMD)
Entity type:Individual
Prefix:
First Name:RAFI
Middle Name:
Last Name:RAYES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14300 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3417
Mailing Address - Country:US
Mailing Address - Phone:313-800-1111
Mailing Address - Fax:313-855-8000
Practice Address - Street 1:14300 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3417
Practice Address - Country:US
Practice Address - Phone:313-800-1111
Practice Address - Fax:313-855-8000
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039754183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist