Provider Demographics
NPI:1861715609
Name:ALLADEEN, BIBI TASLEEZA (RPH)
Entity type:Individual
Prefix:MS
First Name:BIBI
Middle Name:TASLEEZA
Last Name:ALLADEEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45345-9173
Mailing Address - Country:US
Mailing Address - Phone:937-687-0677
Mailing Address - Fax:
Practice Address - Street 1:605 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45345-9173
Practice Address - Country:US
Practice Address - Phone:937-687-0677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03226232183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist