MEDICARE: RIM HUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	70816	CA

General Provider Information

NPI Number	:	1871986968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIM HUR

Provider Business Mailing Address
First Line	:	PO BOX 9292
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94709-0292
Country	:	US
Telephone Number	:	510-813-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 E DANA ST
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94041-1507
Country	:	US
Telephone Number	:	510-813-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	03/20/2015

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Directions to “ RIM HUR ” Practice Location

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