Provider Demographics
NPI:1346843505
Name:GHIMERAY, RABI LAL (PHARMD)
Entity Type:Individual
Prefix:
First Name:RABI
Middle Name:LAL
Last Name:GHIMERAY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 BOWEN DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6732
Mailing Address - Country:US
Mailing Address - Phone:513-583-9333
Mailing Address - Fax:513-583-9101
Practice Address - Street 1:8288 CINCINNATI-DAYTON RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-777-3978
Practice Address - Fax:513-777-4286
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015030924183500000X
OH03337873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist