Rahaf Khzam
Pharmacist in Fort Bragg, CA. Individual provider (NPI-1).
NPI number1104578632
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1104578632
- Entity type
- Individual (NPI-1)
- Name
- Rahaf Khzam
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2022
- Certification date
- Jan 16, 2022
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 81961 | CA | Yes |
Practice location
150 S Main StFort Bragg, CA 95437-4205
Phone 707-961-1342
Mailing address
216 S Main StFort Bragg, CA 95437
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