MEDICARE: MOHAMED ALIYU BARRIE PHARMD

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	20400	MD

General Provider Information

NPI Number	:	1790046845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED ALIYU BARRIE PHARMD

Provider Business Mailing Address
First Line	:	12805 LITTLE ELLIOTT DR APT 6
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-2689
Country	:	US
Telephone Number	:	301-302-7832
Fax Number	:	301-302-7832

Provider Business Practice Location Address
First Line	:	92 SOUDER RD
Second Line	:
City	:	BRUNSWICK
State	:	MD
Zip	:	21716-1245
Country	:	US
Telephone Number	:	301-834-8100
Fax Number	:	301-834-4481

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

Provider Enumeration Date	:	06/05/2012
Last Update Date	:	06/05/2012

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