Provider Demographics
NPI:1831489814
Name:ABU LUBDEH, REEM SABE (RPH)
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:SABE
Last Name:ABU LUBDEH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 PORTOLA MEADOWS RD
Mailing Address - Street 2:165
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-6602
Mailing Address - Country:US
Mailing Address - Phone:510-508-5960
Mailing Address - Fax:
Practice Address - Street 1:599 EAST VALPICO RD
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376
Practice Address - Country:US
Practice Address - Phone:209-830-0976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist