Healthcare Provider Details

I. General information

NPI: 1114580305
Provider Name (Legal Business Name): REEMA RIHANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 04/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 S AURORA PKWY
AURORA CO
80016-5801
US

IV. Provider business mailing address

6101 S AURORA PKWY
AURORA CO
80016-5801
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-5532
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17970
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: