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NPI Code Detail

MEDICARE: DR. RAYYA AJEENAH HUNTER PHARMD

MEDICARE: DR. RAYYA AJEENAH HUNTER 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
1183500000XPharmacist051.300052IL

General Provider Information

NPI Number : 1992339949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYYA AJEENAH HUNTER PHARMD
Provider Business Mailing Address
First Line : 3910 W OGDEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2470
Country : US
Telephone Number : 872-588-3250
Fax Number :
Provider Business Practice Location Address
First Line : 3910 W OGDEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2470
Country : US
Telephone Number : 872-588-3250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2020
Last Update Date : 02/28/2020

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