Healthcare Provider Details

I. General information

NPI: 1437599776
Provider Name (Legal Business Name): RIMA BOUAJRAM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

200 W ARBOR DR # MC946
SAN DIEGO CA
92103-1911
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2961
  • Fax:
Mailing address:
  • Phone: 760-580-7550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70214
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number31400
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: