Healthcare Provider Details

I. General information

NPI: 1063969327
Provider Name (Legal Business Name): ALIYAH ABDUL-RASHEED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2016
Last Update Date: 01/27/2020
Certification Date: 01/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8325 W INDIAN SCHOOL RD
PHOENIX AZ
85037-2125
US

IV. Provider business mailing address

8325 W INDIAN SCHOOL RD
PHOENIX AZ
85037-2125
US

V. Phone/Fax

Practice location:
  • Phone: 623-245-7353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS022135
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS022135
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: