Provider Demographics
NPI:1437426277
Name:BHIMJI, RIZWAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:RIZWAN
Middle Name:
Last Name:BHIMJI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PANGBORNE CT
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7041
Mailing Address - Country:US
Mailing Address - Phone:540-313-4048
Mailing Address - Fax:
Practice Address - Street 1:251 FRONT ROYAL PIKE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-7319
Practice Address - Country:US
Practice Address - Phone:540-722-9495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist