Provider Demographics
NPI:1972055994
Name:LAHIJI, BIANCA (PHARM D)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:LAHIJI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E 60TH ST
Mailing Address - Street 2:APT 3H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1406
Mailing Address - Country:US
Mailing Address - Phone:516-606-9898
Mailing Address - Fax:
Practice Address - Street 1:220 E 60TH ST
Practice Address - Street 2:APT 3H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1406
Practice Address - Country:US
Practice Address - Phone:516-606-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist