Provider Demographics
NPI:1235746181
Name:BARI, RIMA ZAHRA
Entity Type:Individual
Prefix:
First Name:RIMA
Middle Name:ZAHRA
Last Name:BARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19816 FOOTHILL AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1612
Mailing Address - Country:US
Mailing Address - Phone:718-974-6395
Mailing Address - Fax:
Practice Address - Street 1:19816 FOOTHILL AVE
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1612
Practice Address - Country:US
Practice Address - Phone:718-974-6395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist