Provider Demographics
NPI:1487472262
Name:BAKARE, RASHEED ABAYOMI
Entity type:Individual
Prefix:
First Name:RASHEED
Middle Name:ABAYOMI
Last Name:BAKARE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19221 BEECHNUT ST APT 115
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5210
Mailing Address - Country:US
Mailing Address - Phone:862-621-3889
Mailing Address - Fax:
Practice Address - Street 1:19221 BEECHNUT ST APT 115
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5210
Practice Address - Country:US
Practice Address - Phone:862-621-3889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45262183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist