Provider Demographics
NPI:1710582317
Name:RAHMAN, MUNEEB (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:MUNEEB
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12585 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2487
Mailing Address - Country:US
Mailing Address - Phone:281-749-8861
Mailing Address - Fax:
Practice Address - Street 1:12585 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2487
Practice Address - Country:US
Practice Address - Phone:281-749-8861
Practice Address - Fax:281-749-8866
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60825183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist