Provider Demographics
NPI:1548861321
Name:SHANAA, NAJIYA RAFEEK (PHARMD)
Entity type:Individual
Prefix:
First Name:NAJIYA
Middle Name:RAFEEK
Last Name:SHANAA
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 1:14616 LIPTON LN
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7931
Mailing Address - Country:US
Mailing Address - Phone:512-826-8617
Mailing Address - Fax:
Practice Address - Street 1:3701 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-4975
Practice Address - Country:US
Practice Address - Phone:512-352-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist