Provider Demographics
NPI:1790046845
Name:BARRIE, MOHAMED ALIYU (PHARMD)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:ALIYU
Last Name:BARRIE
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 1:12805 LITTLE ELLIOTT DR APT 6
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2689
Mailing Address - Country:US
Mailing Address - Phone:301-302-7832
Mailing Address - Fax:301-302-7832
Practice Address - Street 1:92 SOUDER RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:MD
Practice Address - Zip Code:21716-1245
Practice Address - Country:US
Practice Address - Phone:301-834-8100
Practice Address - Fax:301-834-4481
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist