MEDICARE: RAKIYA WADA SADIQ 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
1	183500000X	Pharmacist	5302416685	MI

General Provider Information

NPI Number	:	1235056169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAKIYA WADA SADIQ PHARMD

Provider Business Mailing Address
First Line	:	10539 BITTERSWEET LN
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-2225
Country	:	US
Telephone Number	:	336-308-6443
Fax Number	:

Provider Business Practice Location Address
First Line	:	10539 BITTERSWEET LN
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-2225
Country	:	US
Telephone Number	:	336-308-6443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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Directions to “ RAKIYA WADA SADIQ PHARMD” Practice Location

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