Provider Demographics
NPI:1730698887
Name:RAFIQI, MARIAM (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MARIAM
Middle Name:
Last Name:RAFIQI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARIAM
Other - Middle Name:
Other - Last Name:BAQI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2110 TRUXTUN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301
Mailing Address - Country:US
Mailing Address - Phone:661-716-2682
Mailing Address - Fax:661-427-2310
Practice Address - Street 1:2110 TRUXTUN AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-716-2682
Practice Address - Fax:661-427-2310
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist