Provider Demographics
NPI:1124376561
Name:ABDUL-BARR, KAREEMA DANELLA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KAREEMA
Middle Name:DANELLA
Last Name:ABDUL-BARR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 WATKINS GLEN DR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-4059
Mailing Address - Country:US
Mailing Address - Phone:678-763-1925
Mailing Address - Fax:
Practice Address - Street 1:780 CHURCH ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7269
Practice Address - Country:US
Practice Address - Phone:678-763-1925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH019098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist