Provider Demographics
NPI:1245101765
Name:DYS, RABIAH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RABIAH
Middle Name:
Last Name:DYS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BEAVER BROOK ST
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-1208
Mailing Address - Country:US
Mailing Address - Phone:978-879-7442
Mailing Address - Fax:
Practice Address - Street 1:16 BEAVER BROOK ST
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-1208
Practice Address - Country:US
Practice Address - Phone:978-879-7442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist