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NPI Code Detail

MEDICARE: DR. RAWAN BARAKAT PHARMD

MEDICARE: DR. RAWAN BARAKAT PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH26140MA

General Provider Information

NPI Number : 1396027827
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAWAN BARAKAT PHARMD
Provider Business Mailing Address
First Line : 825 MORTON ST
Second Line :
City : MATTAPAN
State : MA
Zip : 02126-1850
Country : US
Telephone Number : 617-298-3114
Fax Number : 617-298-2582
Provider Business Practice Location Address
First Line : 825 MORTON ST
Second Line :
City : MATTAPAN
State : MA
Zip : 02126-1850
Country : US
Telephone Number : 617-298-3114
Fax Number : 617-298-2582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2011
Last Update Date : 09/22/2011

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Directions to “ DR. RAWAN BARAKAT PHARMD” Practice Location

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