Healthcare Provider Details

I. General information

NPI: 1235597089
Provider Name (Legal Business Name): JANINE RIMAWI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2016
Last Update Date: 02/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 SOUNDVIEW AVE
BRONX NY
10473-3703
US

IV. Provider business mailing address

925 SOUNDVIEW AVE
BRONX NY
10473-3703
US

V. Phone/Fax

Practice location:
  • Phone: 718-328-2129
  • Fax: 718-328-2375
Mailing address:
  • Phone: 718-328-2129
  • Fax: 718-328-2375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number061451
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: