Provider Demographics
NPI:1225632953
Name:ABDIRHMON, NAIMA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NAIMA
Middle Name:
Last Name:ABDIRHMON
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 1:787 RIVERSIDE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-1084
Mailing Address - Country:US
Mailing Address - Phone:209-878-1106
Mailing Address - Fax:208-878-1108
Practice Address - Street 1:787 RIVERSIDE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1084
Practice Address - Country:US
Practice Address - Phone:209-878-1106
Practice Address - Fax:208-878-1108
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR12973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist